Ordin CNAS 266 Din 28 04 2023

ANEXA 6
(ANEXA 2a la Ordinul CNAS nr. 116/2022)
SUBLISTA A - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 90% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 01 MAI 2023
Contributie maxima Val. maxima suportata de Contributie maxima

a asiguratului / UT sistemul de asigurari a asiguratului / UT
(pt. asiguratii care sociale de sanatate / UT (pt. asiguratii care
Prescriptie
cant. beneficiaza de (pt. asiguratii care beneficiaza de
Cod_CIM
UT/ Pret de compensare 100% beneficiaza de compensare 90%

Nr crt.
tara det. amba referinta / UT din pretul de compensare 90% din pretul din pretul de
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) de referinta) referinta)
SE ADAUGA
1,071 W69483001 R03BA02 BUDESONIDUM CORTAIR 0,5 mg/ml Suspensie pentru nebulizator SUSP. DE INHALAT PRIN NEBULIZATOR 0,5mg/ml CN UNIFARM S.A. ROMANIA CUTIE CU 20 FIOLE A CATE 2 ML SUSP. PT. NEBULIZATOR PRF 20 0.902665 1.915335 0.812398 2.005602
1,072 W69439001 R03BB01 IPRATROPII BROMIDUM IPRATOM 500 mcg/2ml SOL. DE INHALAT PRIN NEBULIZATOR 500mcg/2ml CN UNIFARM S.A. ROMANIA CUTIE CU 20 FIOLE MONODOZA A CATE 2 ML SOL. DE INHALAT PRIN NEBULIZATOR P6L 20 1.063000 0.000000 0.956700 0.106300
SE MODIFICA
62 W07616001 B01AC05 TICLOPIDINUM (1) TICLODIN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. FILM. P6L 20 0.305651 1.654349 0.275085 1.684915
63 W07968001 B01AC05 TICLOPIDINUM (1) IPATON 250 mg COMPR. FILM. 250mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. AL/ PVC X 10 COMPR.FILM. P6L 20 0.305651 1.066349 0.275085 1.096915
103 W65031002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL. P-6L 28 0.592499 0.411072 0.533249 0.470322
104 W67252002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg UPJOHN EESV OLANDA CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. MODIF. P6L 28 0.592499 0.411072 0.533249 0.470322
105 W65031002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL. P-6L 28 0.592499 0.411072 0.533249 0.470322
106 W67252002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. MODIF. 4mg UPJOHN EESV OLANDA CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. MODIF. P6L 28 0.592499 0.411072 0.533249 0.470322
422 W60908002 C10AA01 SIMVASTATINUM SIMVASTATINA ARENA 10 mg COMPR. FILM. 10 mg ARENA GROUP S.A. ROMANIA CUTIE X 2 BLIST. DIN PVC - PVD /AL X 14 COMPR. FILM. P-6L 28 0.107303 0.250554 0.096572 0.261285
423 W12477002 C10AA01 SIMVASTATINUM ZEPLAN 10 mg COMPR. FILM. 10mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM P-6L 28 0.107303 0.114839 0.096572 0.125570
424 W42158001 C10AA01 SIMVASTATINUM SINTENAL 10 mg COMPR. FILM. 10mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 10 COMPR. FILM. P-6L 30 0.107303 0.249697 0.096572 0.260428
426 W56959001 C10AA01 SIMVASTATINUM SIMVACARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.107303 0.056268 0.096572 0.066999
427 W59878005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.107303 0.056030 0.096572 0.066761
430 W12478002 C10AA01 SIMVASTATINUM ZEPLAN 20 mg COMPR. FILM. 20mg ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM
GEDEON RICHTER ROMANIA SA P-6L 28 0.214606 0.256822 0.193145 0.278283
434 W56960001 C10AA01 SIMVASTATINUM SIMVACARD 20 mg COMPR. FILM. 20mg ZENTIVA K.S. CEHIA CUTIE X 2 BLIST. PVC-PE-PVDC/AL X 14 COMPR. FILM. P-6L 28 0.214606 0.057179 0.193145 0.078640
435 W59879005 C10AA01 SIMVASTATINUM SIMVASTATIN TERAPIA 20 mg COMPR. FILM. 20mg TERAPIA SA ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.214606 0.261394 0.193145 0.282855
438 W41446002 C10AA01 SIMVASTATINUM ZEPLAN 40 mg COMPR. FILM. 40mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 14 COMPR. FILM. P-6L 28 0.429214 0.170071 0.386292 0.212993
444 W06752001 C10AA02 LOVASTATINUM MEDOSTATIN 20 mg COMPR. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 1 BLIST. X 10 COMPR. P-6L 10 0.143071 1.337929 0.128763 1.352237
445 W57367004 C10AA02 LOVASTATINUM LOVASTATINA ARENA 20 mg COMPR. 20mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.143071 0.843595 0.128763 0.857903
467 W51724001 C02CA04 DOXAZOSINUM DOXAZOSIN ARENA 1 mg (vezi C02CA04) COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. DIN AL/PVC X 10 COMPR. P-6L 30 0.148124 0.910542 0.133311 0.925355
468 W51724001 C02CA04 DOXAZOSINUM DOXAZOSIN ARENA 1 mg (vezi C02CA04) COMPR. 1mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. DIN AL/PVC X 10 COMPR. P-6L 30 0.148124 0.910542 0.133311 0.925355
469 W08648002 C02CA04 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.296249 0.356084 0.266624 0.385709
470 W08648002 C02CA04 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 2mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.296249 0.356084 0.266624 0.385709
471 W08649002 C02CA04 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 0.592499 0.065834 0.533249 0.125084
472 W08649002 C02CA04 DOXAZOSINUM KAMIREN (vezi G04CAN1) COMPR. 4mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 3 BLIST. PVC-PVDE/AL X 10 COMPR. P-6L 30 0.592499 0.065834 0.533249 0.125084
473 W13893002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL. P-6L 28 0.592499 0.411072 0.533249 0.470322
474 W13893002 C02CA04 DOXAZOSINUM CARDURA XL 4 mg (vezi G04CAN1) COMPR. ELIB. PREL. 4mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 4 BLIST. AL-PA-PVDC/AL-PVDC X 7 COMPR. ELIB. PREL. P-6L 28 0.592499 0.411072 0.533249 0.470322
503 W00351001 J01CA04 AMOXICILLINUM AMOXICILINA ATB 500 mg CAPS. 500mg ANTIBIOTICE SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 0.521875 0.148125 0.469687 0.200313
504 W08428003 J01CA04 AMOXICILLINUM AMOXICILINA FORTE FARMEX 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 1 BLIST. X 10 CAPS. P-RF 10 0.521875 0.148125 0.469687 0.200313
505 W08428001 J01CA04 AMOXICILLINUM AMOXICILINA FORTE FARMEX 500 mg CAPS. 500mg FARMEX COMPANY SRL ROMANIA CUTIE X 2 BLIST. X 10 CAPS. P-RF 20 0.521875 0.148625 0.469687 0.200813
506 W13739001 J01CA04 AMOXICILLINUM AMOXICILINA ARENA 500 mg CAPS. 500mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 5 CAPS. P-RF 10 0.521875 0.148125 0.469687 0.200313
509 W41578001 J01CA04 AMOXICILLINUM OSPAMOX 500 mg COMPR. FILM. 500mg SANDOZ GMBH AUSTRIA CUTIE X 2 BLIST. PVC-PVDC/AL X 6 COMPR.FILM. P-RF 12 0.472500 0.000000 0.425250 0.047250
581 W57455001 J01DD08 CEFIXIMUM EFICEF 100 mg CAPS. 100mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 2.301625 0.165375 2.071462 0.395538
1,061 W68974005 J01DD08 CEFIXIMUM CEFIXIMA STADA 200 mg COMPR. FILM. 200mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. PRF 10 4.603250 0.408750 4.142925 0.869075
584 W60256001 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 9.206500 1.851500 8.285850 2.772150
585 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 9.206500 1.295500 8.285850 2.216150
1,062 W68975007 J01DD08 CEFIXIMUM CEFIXIMA STADA 400 mg COMPR. FILM. 400mg STADA M&D SRL ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 10 COMPR. FILM. PRF 10 8.545000 0.000000 7.690500 0.854500
587 W61965002 J01DD08 CEFIXIMUM XIFIA 100 mg/5 ml GRANULE PT. SUSP. ORALA 100mg/5ml INN-FARM D.O.O. SLOVENIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, CU CAPCITATEA DE 150 ML CARE CONTINE 53 G GRAN. PT. SUSP. ORALA+1 MASURA DOZATOARE DIN PP PT. MASURAREA VOLUMULUI DE SOLVENT GRADATA LA 66 ML+1 SERINGA DOZATOARE DIN PLASTIC A 5 ML, GRADATA DE LA 0,5 ML PANA LA 5 ML PRF 1 46.032500 36.317500 41.429250 40.920750
592 W61210001 J01FA01 ERYTHROMYCINUM ERITROMICINA ATB 200 mg COMPR. 200mg ANTIBIOTICE SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.479603 0.444897 0.431642 0.492858
1,046 W68970001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. CU ELIB. PREL. 500mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 2.398017 0.517983 2.158215 0.757785
Pagina 1 din 3
Prescriptie
Cod_CIM

Nr crt.
593 W63492001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN PRODUCTS LIMITED MAREA BRITANIE CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 2.398017 0.517983 2.158215 0.757785
594 W65279001 J01FA09 CLARITHROMYCINUM KLACID SR 500 mg COMPR. ELIB. PREL. 500mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU 1 BLIST. PVC/PVDC/AL X 5 COMPR. ELIB. PREL. PRF 5 2.398017 0.517983 2.158215 0.757785
595 W14043001 J01FA09 CLARITHROMYCINUM KLERIMED 250 mg COMPR. FILM. 250mg MEDOCHEMIE LTD. CIPRU CUTIE X 2 BLIST. AL/PVC-PVDC X 7 COMPR. FILM. P-RF 14 1.199008 0.073134 1.079107 0.193035
596 W44093001 J01FA09 CLARITHROMYCINUM KLABAX 250 mg COMPR. FILM. 250mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 1.199008 0.196706 1.079107 0.316607
597 W08490001 J01FA09 CLARITHROMYCINUM FROMILID 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 2 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. P-RF 14 1.199008 0.164563 1.079107 0.284464
599 W62390002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg BGP PRODUCTS S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.199008 0.685992 1.079107 0.805893
600 W65820002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg MYLAN ITALIA S.R.L. ITALIA CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.199008 0.685992 1.079107 0.805893
1,047 W68967002 J01FA09 CLARITHROMYCINUM KLACID 250 mg COMPR. FILM. 250mg IRLANDA
VIATRIS HEALTHCARE LIMITED CUTIE CU 1 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. PRF 14 1.199008 0.685992 1.079107 0.805893
602 W44087001 J01FA09 CLARITHROMYCINUM KLABAX 500 mg COMPR. FILM. 500mg TERAPIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 14 COMPR. FILM. P-RF 14 2.398017 0.202697 2.158215 0.442499
606 W41838002 J01FA09 CLARITHROMYCINUM FROMILID UNO 500 mg COMPR. FILM. ELIB. PREL. 500mg KRKA D.D. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 7 COMPR. FILM. ELIB. PREL. P-RF 7 2.398017 0.287697 2.158215 0.527499
616 W53584001 J01MA01 OFLOXACINUM OFLOXACINA LAROPHARM 200 mg COMPR. FILM. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10COMPR. FILM. P-RF 10 1.395000 0.896000 1.255500 1.035500
617 W56957001 J01MA01 OFLOXACINUM OFLOXIN 200 mg COMPR. FILM. 200mg ZENTIVA K.S. CEHIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.395000 0.896000 1.255500 1.035500
618 W65069001 J01MA01 OFLOXACINUM ZANOCIN 200 mg COMPR. FILM. 200mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. PRF 10 1.395000 0.896000 1.255500 1.035500
619 W54037001 J01MA02 CIPROFLOXACINUM CIPROFLOXACINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.279000 3.993000 0.251100 4.020900
620 W44077004 J01MA02 CIPROFLOXACINUM CIPROCIN 250 mg COMPR. FILM. 250mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.697500 0.094500 0.627750 0.164250
621 W01273001 J01MA02 CIPROFLOXACINUM CIPRINOL 250 mg COMPR. FILM. 250mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 0.697500 0.082500 0.627750 0.152250
622 W01288001 J01MA02 CIPROFLOXACINUM CIPROLEN 250 mg COMPR. FILM. 250mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.697500 0.094500 0.627750 0.164250
623 W01271002 J01MA02 CIPROFLOXACINUM CUMINOL 250 mg COMPR. FILM. 250mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 0.697500 0.072500 0.627750 0.142250
626 W65056001 J01MA02 CIPROFLOXACINUM CIFRAN 250 mg COMPR. FILM. 250mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 0.697500 0.094500 0.627750 0.164250
629 W44076001 J01MA02 CIPROFLOXACINUM CIPROCIN 500 mg COMPR. FILM. 500mg E.I.P.I.CO. MED S.R.L. ROMANIA CUTIE X 1 BLIST. X 10 COMPR. FILM. P-RF 10 1.395000 0.118000 1.255500 0.257500
630 W01289001 J01MA02 CIPROFLOXACINUM CIPROLEN 500 mg COMPR. FILM. 500mg AC HELCOR PHARMA S.R.L. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.395000 0.118000 1.255500 0.257500
631 W01272001 J01MA02 CIPROFLOXACINUM CUMINOL 500 mg COMPR. FILM. 500mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. FILM. P-RF 10 1.395000 0.098000 1.255500 0.237500
632 W12545001 J01MA02 CIPROFLOXACINUM CIPRO QUIN 500 mg COMPR. FILM. 500mg ANTIBIOTICE SA ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 1.395000 0.118000 1.255500 0.257500
635 W65057001 J01MA02 CIPROFLOXACINUM CIFRAN 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PVDC-AL X 10 COMPR. FILM. PRF 10 1.395000 0.118000 1.255500 0.257500
637 W42772001 J01MA02 CIPROFLOXACINUM CIPRINOL 750 mg COMPR. FILM. 750mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE X 1 BLIST. AL/PVC-PVDC X 10 COMPR. FILM. P-RF 10 2.092500 1.691500 1.883250 1.900750
639 W52445001 J01MA03 PEFLOXACINUM PEFLOXACIN LAROPHARM 400 mg COMPR. FILM. 400mg LAROPHARM S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. FILM. P-RF 10 1.395000 1.781000 1.255500 1.920500
684 W42857001 J05AB01 ACICLOVIRUM ACICLOVIR SLAVIA 200 mg CAPS. 200mg SLAVIA PHARM SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.925155 0.300345 0.832639 0.392861
685 W53675001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 200 mg CAPS. 200mg ARENA GROUP SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 CAPS. P-RF 20 0.925155 0.300345 0.832639 0.392861
686 W56038001 J05AB01 ACICLOVIRUM ACICLOVIR FARMEX 200 mg CAPS. 200mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 2 BLIST. PVC/AL X 10 CAPS. P-RF 20 0.925155 0.300345 0.832639 0.392861
687 W53676001 J05AB01 ACICLOVIRUM ACICLOVIR ARENA 400 mg CAPS. 400mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 CAPS. P-RF 10 1.850311 1.192689 1.665279 1.377721
688 W00044001 J05AB01 ACICLOVIRUM ACICLOVIR TERAPIA 200 mg COMPR. 200mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.925155 0.114845 0.832639 0.207361
689 W06667003 J05AB01 ACICLOVIRUM ACICLOVIR 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 4 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 20 0.925155 0.300345 0.832639 0.392861
690 W53225001 J05AB01 ACICLOVIRUM ACICLOVIR LAROPHARM 200 mg COMPR. 200mg LAROPHARM S.R.L. ROMANIA CUTIE X 2 BLIST. X 10 COMPR. P-RF 20 0.925155 0.300345 0.832639 0.392861
691 W60558001 J05AB01 ACICLOVIRUM ACICLOVIR-RICHTER 200 mg COMPR. 200mg GEDEON RICHTER ROMANIA SA ROMANIA CUTIE CU 2 BLIST. AL/PVC X 10 COMPR. PRF 20 0.925155 0.048845 0.832639 0.141361
693 W06668003 J05AB01 ACICLOVIRUM ACICLOVIR 400 mg COMPR. 400mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 5 COMPR. P-RF 10 1.850311 0.792689 1.665279 0.977721
743 W42896001 M01AE03 KETOPROFENUM KETONAL DUO 150 mg CAPS. ELIB. PREL. 150mg SANDOZ S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC-TE-PVDC X 10 CAPS. ELIB. PREL. P-6L 20 0.784198 0.076302 0.705778 0.154722
744 W03880001 M01AE03 KETOPROFENUM KETONAL RETARD 150 mg COMPR. ELIB. PREL. 150mg LEK PHARMACEUTICALS D.D. SLOVENIA CUTIE X 1 FLAC. X 20 COMPR. CU ELIB. PREL. P-6L 20 0.784198 0.150302 0.705778 0.228722
747 W43111001 M01AE03 KETOPROFENUM KETOPROXIN 50 mg COMPR. FILM. 50mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. PVC/ALX 10 COMPR. FILM. P-6L 20 0.261399 0.132101 0.235259 0.158241
752 W00242003 M04AA01 ALLOPURINOLUM MILURIT 100 mg COMPR. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 COMPR. P6L 60 0.141944 0.046222 0.127749 0.060417
753 W65236001 M04AA01 ALLOPURINOLUM MILURIT 200 mg COMPR. 200mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU 1 FLAC. DIN STICLA BRUNA X 30 COMPR. P6L 30 0.278000 0.000000 0.250200 0.027800
754 W00243001 M04AA01 ALLOPURINOLUM MILURIT 300 mg COMPR. 300mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 1 FLAC. X 30 COMPR. P-6L 30 0.425833 0.008833 0.383249 0.051417
881 W60729001 N06AB03 FLUOXETINUM ** FLUOXETIN ARENA 10 mg CAPS. 10mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 CAPS. PRF 10 0.250799 1.283201 0.225719 1.308281
883 W13241002 N06AB03 FLUOXETINUM ** FLUOXIN 20 mg CAPS. 20mg VIM SPECTRUM SRL ROMANIA CUTIE X 4 BLIST. PVC/AL X 7 CAPS. P-RF 28 0.501599 0.386615 0.451439 0.436775
884 W08497001 N06AB03 FLUOXETINUM ** MAGRILAN 20 mg CAPS. 20mg MEDOCHEMIE LTD. CIPRU CUTIE X 3 BLIST. AL/PVC X 10 CAPS. P-RF 30 0.451000 0.000000 0.405900 0.045100
887 W10228001 N06AB03 FLUOXETINUM ** PROZAC 20 mg COMPR. DISP. 20mg ELI LILLY SA SPANIA CUTIE X 2 BLIST. PVC-PE-PCTFE/AL X 14 COMPR. DISP. P-RF 28 0.501599 0.916615 0.451439 0.966775
894 W44097001 N06AB06 SERTRALINUM ** SERLIFT 100 mg COMPR. FILM. 100mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 1.003199 0.411086 0.902879 0.511406
895 W12874001 N06AB06 SERTRALINUM ** ASENTRA 100 mg COMPR. FILM. 100mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 1.003199 0.028586 0.902879 0.128906
896 W55563001 N06AB06 SERTRALINUM ** ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X BLISTERE DIN AL/PVC X 28 COMPRIMATE FILMATE P-RF 28 1.003199 0.329301 0.902879 0.429621
898 W59303002 N06AB06 SERTRALINUM ** STIMULOTON 100 mg COMPR. FILM. 100mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 COMPR. FILM. P-RF 28 1.003199 0.220729 0.902879 0.321049
899 W60444001 N06AB06 SERTRALINUM ** SERTRALINA ARENA 100 mg COMPR. FILM. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 1.003199 0.411467 0.902879 0.511787
900 W61376006 N06AB06 SERTRALINUM ** SERTRALINA AUROBINDO 100 mg COMPR. FILM. 100mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 0.996000 0.000000 0.896400 0.099600
Pagina 2 din 3
Prescriptie
Cod_CIM

Nr crt.
901 W65116001 N06AB06 SERTRALINUM ** ZOLOFT 100 mg COMPR. FILM. 100mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PR/PRF 28 1.003199 0.329301 0.902879 0.429621
902 W67279001 N06AB06 SERTRALINUM ** ZOLOFT 100 mg COMPR. FILM. 100mg UPJOHN EESV OLANDA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PR/PRF 28 1.003199 0.329301 0.902879 0.429621
903 W44096001 N06AB06 SERTRALINUM ** SERLIFT 50 mg COMPR. FILM. 50mg TERAPIA SA ROMANIA CUTIE X 2 BLIST. X 14 COMPR. FILM. P-RF 28 0.501599 0.298043 0.451439 0.348203
904 W12873001 N06AB06 SERTRALINUM ** ASENTRA 50 mg COMPR. FILM. 50mg KRKA D.D. SLOVENIA CUTIE X 4 BLIST. X 7 COMPR. FILM. P-RF 28 0.376428 0.000000 0.338785 0.037643
905 W55562001 N06AB06 SERTRALINUM ** ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X BLIST. DIN AL/PVC X 28 COMPR. FILM. P-RF 28 0.501599 0.254472 0.451439 0.304632
907 W59302001 N06AB06 SERTRALINUM ** STIMULOTON 50 mg COMPR. FILM. 50mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 3 BLIST. X 10 COMPR. FILM. P-RF 30 0.501599 0.010067 0.451439 0.060227
908 W60443001 N06AB06 SERTRALINUM ** SERTRALINA ARENA 50 mg COMPR. FILM. 50mg ARENA GROUP SA ROMANIA CUTIE X 3 BLIST. PVC-PVDC/AL X 10 COMPR. FILM. P-RF 30 0.501599 0.382401 0.451439 0.432561
909 W61375006 N06AB06 SERTRALINUM ** SERTRALINA AUROBINDO 50 mg COMPR. FILM. 50mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 30 COMPR. FILM. PRF 30 0.482666 0.000000 0.434399 0.048267
910 W65052001 N06AB06 SERTRALINUM ** ZOLOFT 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PR/PRF 28 0.501599 0.254472 0.451439 0.304632
911 W67278001 N06AB06 SERTRALINUM ** ZOLOFT 50 mg COMPR. FILM. 50mg UPJOHN EESV OLANDA CUTIE CU BLIST. PVC/AL X 28 COMPR. FILM. PR/PRF 28 0.501599 0.254472 0.451439 0.304632
912 W55564001 N06AB06 SERTRALINUM ** ZOLOFT 20 mg/ml CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU 1 FLAC. DIN STICLA BRUNA X 60 ML CONC. PT. SOL. ORALA + 1 PIPETA GRADATA P-RF 1 12.038392 53.231608 10.834552 54.435448
913 W65117001 N06AB06 SERTRALINUM ** ZOLOFT 20 mg/ml CONC. PT. SOL. ORALA 20mg/ml PFIZER EUROPE MA EEIG BELGIA CUTIE CU 1 FLAC. DIN STICLA BRUNA, AVAND CAPACITATEA DE 60 ML + 1 PIPETA GRADATA CARE CONTINE CONC. PT. SOL. ORALA PR/PRF 1 12.038392 53.231608 10.834552 54.435448
914 W67280001 N06AB06 SERTRALINUM ** ZOLOFT 20 mg/ml CONC. PT. SOL. ORALA 20mg/ml UPJOHN EESV OLANDA CUTIE CU 1 FLAC. DIN STICLA BRUNA, AVAND CAPACITATEA DE 60 ML + 1 PIPETA GRADATA CARE CONTINE CONC. PT. SOL. ORALA PR/PRF 1 12.038392 53.231608 10.834552 54.435448
928 W56742002 N06AX16 VENLAFAXINUM ** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 1.444321 0.667821 1.299888 0.812254
930 W64861002 N06AX16 VENLAFAXINUM ** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 1.444321 0.667821 1.299888 0.812254
931 W67116002 N06AX16 VENLAFAXINUM ** EFECTIN EP 150 mg CAPS. ELIB. PREL. 150 mg UPJOHN EESV OLANDA CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 1.444321 0.667821 1.299888 0.812254
932 W52122001 N06AX16 VENLAFAXINUM ** VELAXIN 150 mg CAPS. ELIB. PREL. 150mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL. P-RF 28 1.444285 0.000000 1.299856 0.144429
934 W55396001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 150 mg CAPS. ELIB. PREL. 150mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 1.444321 0.000012 1.299888 0.144445
936 W53268003 N06AX16 VENLAFAXINUM ** FOBILESS 37,5 mg CAPS. ELIB. PREL. 37,5mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 0.361080 0.297253 0.324972 0.333361
937 W55395001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 37,5 mg CAPS. ELIB. PREL. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 0.361080 0.556253 0.324972 0.592361
938 W56741002 N06AX16 VENLAFAXINUM ** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0.722160 0.362482 0.649944 0.434698
940 W64860002 N06AX16 VENLAFAXINUM ** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0.722160 0.362482 0.649944 0.434698
941 W67115002 N06AX16 VENLAFAXINUM ** EFECTIN EP 75 mg CAPS. ELIB. PREL. 75 mg UPJOHN EESV OLANDA CUTIE CU BLIST. DIN PVC/AL X 28 CAPS. ELIB. PREL. PRF 28 0.722160 0.362482 0.649944 0.434698
942 W52123001 N06AX16 VENLAFAXINUM ** VELAXIN 75 mg CAPS. ELIB. PREL. 75mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE X 2 BLIST. PVC-PVDC/AL X 14 CAPS. CU ELIB. PREL P-RF 28 0.722160 0.223197 0.649944 0.295413
944 W53269003 N06AX16 VENLAFAXINUM ** FOBILESS 75 mg CAPS. ELIB. PREL. 75mg LANNACHER HEILMITTEL GES.M.B.H. AUSTRIA CUTIE X BLIST. PVC/AL X 30 CAPS. CU ELIB. PREL. P-RF 30 0.722160 0.009173 0.649944 0.081389
945 W55397001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA EP 75 mg CAPS. ELIB. PREL. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE-PVDC/AL X 10 CAPS. CU ELIB. PREL. P-RF 30 0.722160 0.254840 0.649944 0.327056
947 W55398001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 37,5 mg COMPR. 37,5mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.361080 0.556253 0.324972 0.592361
948 W55399001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 50 mg COMPR. 50mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.481440 0.453226 0.433296 0.501370
949 W55400001 N06AX16 VENLAFAXINUM ** VENLAFAXINA ARENA 75 mg COMPR. 75mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. PVC-PE- PVDC/AL X 10 COMPR. P-RF 30 0.722160 0.248173 0.649944 0.320389
1,022 W67210001 R03BA01 BECLOMETASONUM SOPROBEC 250 micrograme pe doza SOL. DE INHALAT PRESURIZATA 250mcg/doza GLENMARK PHARMACEUTICALS S.R.O. REPUBLICA CEHA CUTIE CU FLAC. PRESURIZAT DIN AL PREVAZUT CU UN CONTOR AL DOZELOR, SISTEM DE ACTIONARE DE CULOARE MARONIE SI CAPAC DE PROTECTIE DE CULOARE GRI CARE ELIBEREAZA 200 DOZE (PUFURI) PRF 1 112.375000 0.135000 101.137500 11.372500
968 W41683001 R03BA01 BECLOMETASONUM CLENIL JET 250 mcg/doza SOL. DE INHALAT PRESURIZATA 250mcg/doza CHIESI FARMACEUTICI SPA ITALIA CUTIE X 1 FLACON PRESURIZAT DIN AL X 200 DOZE, PREVAZUT CU VALVA DOZATOARE + DISPOZITIV DE ADM., "SPASER JET" CU CAPAC P-RF 1 112.330000 0.000000 101.097000 11.233000
969 W43881001 R03BA02 BUDESONIDUM FRENOLYN 200 µg PULB. INHAL. 200 mcg/doza MEDOCHEMIE ROMANIA SRL ROMANIA CUTIE CU 1 PUNGA DIN POLISTIREN/AL/PE CONTINAND 1 INHALATOR TIP MIAT-HALER X 100 DOZE P-RF 1 33.850000 1.180000 30.465000 4.565000
971 W00680001 R03BA02 BUDESONIDUM PULMICORT TURBUHALER 200 mcg/doza PULB. INHAL. 200mcg/doza ASTRAZENECA AB SUEDIA CUTIE X 1 FLACON MULTIDOZA DIN PEID X 100 DOZE PULB. INHAL. P-RF 1 31.430000 0.000000 28.287000 3.143000
973 W65226001 R03BB01 IPRATROPII BROMIDUM IPRAVENT INHALER 20 micrograme/doza SOL. DE INHAL. PRESURIZATA 20micrograme/doza AMRING FARMA S.R.L. ROMANIA CUTIE CU 1 FLAC. PRESURIZAT DIN AL X 200 DOZE SOL. DE INHALAT PRESURIZATA P6L 1 21.430006 0.509994 19.287005 2.652995
980 W65487001 R03DX05 OMALIZUMABUM **1 Ω XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR/PRF 1 1,168.600000 0.000000 1,051.740000 116.860000
SE ELIMINA
436 W65997005 C10AA01 SIMVASTATINUM SIMVASTATIN AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 30 COMPR. FILM. P6L 30 0.106333 0.000000 0.095699 0.010634
508 W67919002 J01CA04 AMOXICILLINUM AMOXICILINA AUROBINDO 1000 mg COMPR. FILM. 1000mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 10 0.921000 0.000000 0.828900 0.092100
510 W67918002 J01CA04 AMOXICILLINUM AMOXICILINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. FILM. PRF 10 0.469500 0.200500 0.422550 0.247450
586 W63368003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7 8.517142 0.000000 7.665427 0.851715
692 W65783001 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 200 mg COMPR. 200mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 20 COMPR. PRF 20 0.685500 0.000000 0.616950 0.068550
694 W65784008 J05AB01 ACICLOVIRUM ACICLOVIR AUROBINDO 400 mg COMPR. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. TRANSPARENTE PVC/AL X 10 COMPR. PRF 10 1.336000 0.000000 1.202400 0.133600
800 W64281004 N03AX12 GABAPENTINUM GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0.114534 0.067666 0.103080 0.079120
935 W66465006 N06AX16 VENLAFAXINUM ** VENLAFAXINA AUROBINDO 150 mg CAPS. ELIB. PREL. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.715333 0.000000 0.643799 0.071534
946 W66464006 N06AX16 VENLAFAXINUM ** VENLAFAXINA AUROBINDO 75 mg CAPS. ELIB. PREL. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.420000 0.000000 0.378000 0.042000
979 W57245001 R03DX05 OMALIZUMABUM **1 Ω XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR/PRF 1 1,595.950000 0.000000 1,436.355000 159.595000
Pagina 3 din 3
ANEXA 7
(ANEXA 2b la Ordinul CNAS nr. 116/2022)
SUBLISTA B - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 50% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) ALE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE PERSONALA
DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE, VALABILA INCEPAND CU 01 MAI 2023
Contributie maxima a Val. maxima suportata Val. maxima suportata

asiguratului / UT (pt. de sistemul de asigurari Contributie maxima a de sistemul de asigurari Contributie maxima a
asiguratii care sociale de sanatate / UT asiguratului / UT (pt. sociale de sanatate / UT asiguratului / UT (pt.
Prescriptie
cant. beneficiaza de (pt. asiguratii care asiguratii care (pt. asiguratii care asiguratii care
Cod_CIM
UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

Nr crt.
Tara det. amba referinta / UT din pretul de compensare 50% din compensare 50% din compensare 90% din compensare 90% din
cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) referinta) pretul de referinta) pretul de referinta) pretul de referinta) pretul de referinta)
SE ADAUGA
1,304 W69459001 M03BX01 BACLOFENUM BACLOFEN SINTETICA 0,05 mg/ml SOL INJ. 0,05mg/ml DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA A CATE 1 ML SOL. INJ. P6L 5 2.556047 48.473953 1.278023 49.751977 2.300442 48.729558
1,305 W69460001 M03BX01 BACLOFENUM BACLOFEN SINTETICA 0,5 mg/ml SOL INJ. 0,5mg/ml DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 1 FIOLA DIN STICLA X 20 ML SOL. INJ. P6L 1 511.210000 50.140000 255.605000 305.745000 460.089000 101.261000
1,306 W69461001 M03BX01 BACLOFENUM BACLOFEN SINTETICA 2 mg/ml SOL INJ. 2mg/ml DIRECT PHARMA LOGISTICS S.R.L. ROMANIA CUTIE CU 5 FIOLE DIN STICLA A CATE 5 ML SOL. INJ. P6L 5 461.070000 0.000000 230.535000 230.535000 414.963000 46.107000
SE MODIFICA
87 W61520001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI CLIR SNC FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 28 1.222606 0.742036 0.611303 1.353339 1.100345 0.864297
88 W61520013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI CLIR SNC FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) P-RF 30 1.222606 0.886727 0.611303 1.498030 1.100345 1.008988
91 W66403001 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 28 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 28 1.222606 0.742036 0.611303 1.353339 1.100345 0.864297
92 W66403013 B01AC04 CLOPIDOGRELUM ** PLAVIX 75mg COMPR. FILM. 75mg SANOFI-AVENTIS GROUPE FRANTA CUTIE X 30 COMPR. FILM. ( BLIST. PVC-PVDC/AL) PRF 30 1.222606 0.886727 0.611303 1.498030 1.100345 1.008988
93 W66626001 B01AC04 CLOPIDOGRELUM ** CLOPIDOGREL EIPICO 75 mg COMPR. FILM. 75mg E.I.P.I.CO MED S.R.L. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 1.181000 0.000000 0.590500 0.590500 1.062900 0.118100
95 W53412001 B01AC18 TRIFLUSALUM AFLEN 300 mg CAPS. 300mg GALENICA S.A. GRECIA CUTIE X 5 BLIST. X 10 CAPS. P-RF 50 0.611303 0.158497 0.305651 0.464149 0.550172 0.219628
137 W42324004 C03DA04 EPLERENONUM # INSPRA 25 mg COMPR. FILM. 25mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 1.803000 1.002333 0.901500 1.903833 1.622700 1.182633
138 W62960002 C03DA04 EPLERENONUM # EPLERENONA ARENA 25 mg COMPR. FILM. 25mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PRF 90 1.803000 1.592666 0.901500 2.494166 1.622700 1.772966
139 W65282004 C03DA04 EPLERENONUM # INSPRA 25 mg COMPR. FILM. 25mg BELGIA
PFIZER EUROPE MA EEIG CUTIE X 3 BLIST. PERFORATE UNIDOZA DIN PVC/AL X 10 COMPR. FILM. PRF 30 1.803000 1.002333 0.901500 1.903833 1.622700 1.182633
140 W67260004 C03DA04 EPLERENONUM # INSPRA 25 mg COMPR. FILM. 25mg UPJOHN EESV OLANDA CUTIE X 3 BLIST. PERFORATE UNIDOZA DIN PVC/AL X 10 COMPR. FILM. PRF 30 1.803000 1.002333 0.901500 1.903833 1.622700 1.182633
141 W42325004 C03DA04 EPLERENONUM # INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE X 3 BLIST. PERFORATE UNIDOZA PVC/AL X 10 COMPR. FILM. P-RF 30 3.606000 0.000000 1.803000 1.803000 3.245400 0.360600
142 W62961002 C03DA04 EPLERENONUM # EPLERENONA ARENA 50 mg COMPR. FILM. 50mg ARENA GROUP S.A. ROMANIA CUTIE CU BLIST. PVC/AL X 90 COMPR. FILM. PRF 90 3.506444 0.000000 1.753222 1.753222 3.155799 0.350645
143 W65283004 C03DA04 EPLERENONUM # INSPRA 50 mg COMPR. FILM. 50mg PFIZER EUROPE MA EEIG BELGIA CUTIE X 3 BLIST. PERFORATE UNIDOZA DIN PVC/AL X 10 COMPR. FILM. PRF 30 3.606000 0.000000 1.803000 1.803000 3.245400 0.360600
144 W67261004 C03DA04 EPLERENONUM # INSPRA 50 mg COMPR. FILM. 50mg UPJOHN EESV OLANDA CUTIE X 3 BLIST. PERFORATE UNIDOZA DIN PVC/AL X 10 COMPR. FILM. PRF 30 3.606000 0.000000 1.803000 1.803000 3.245400 0.360600
341 W51851005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 1.814285 0.282322 0.907142 1.189465 1.632856 0.463751
345 W64723005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 10mg/160mg COMPR. FILM. 10mg/160mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P6L 56 1.814285 0.282322 0.907142 1.189465 1.632856 0.463751
347 W51852005 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) EXFORGE 5mg/160mg COMPR. FILM. 5mg/160mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE X 56 COMPR. FILM. (BLIST. PVC/PVDC ) P-6L 56 1.760923 0.232469 0.880461 1.112931 1.584830 0.408562
356 W62873006 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN STADA 5 mg/80 mg COMPR. FILM. 5mg/80mg STADA M&D S.R.L. ROMANIA CUTIE CU BLIST. PVC-TE-PVDC/AL X 56 COMPR. FILM. P6L 56 0.907142 0.072143 0.453571 0.525714 0.816427 0.162858
358 W67663003 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN AUROBINDO 5 mg/80 mg COMPR. FILM. 5mg/80mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.907142 0.782858 0.453571 1.236429 0.816427 0.873573
359 W53445002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM INOVUM 20 mg/5 mg COMPR. FILM. 20mg/5mg MENARINI INTERNATIONAL OPERATIONS LUXEMBURG S.A. LUXEMBOURG CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P-6L 28 0.907142 0.876786 0.453571 1.330357 0.816427 0.967501
363 W66041002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SALVO 20 mg/5 mg COMPR. FILM. 20mg/5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.776786 0.453571 1.230357 0.816427 0.867501
364 W66702002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.777143 0.453571 1.230714 0.816427 0.867858
365 W66702011 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLSSA 20 mg/5 mg COMPR. FILM. 20mg/5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU UN PACHET CALENDAR DIN OPA-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.777143 0.453571 1.230714 0.816427 0.867858
366 W68064002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SEVIKAR 20 mg/5 mg COMPR. FILM. 20mg/5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 1.220358 0.453571 1.673929 0.816427 1.311073
1,201 W67835002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM REVERANTZA 20 mg/5 mg COMPR. FILM. 20mg/5mg SWYSSI AG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.742500 0.453571 1.196071 0.816427 0.833215
360 W64426002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM SEVIKAR 20 mg/5 mg COMPR. FILM. 20mg/5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 1.220358 0.453571 1.673929 0.816427 1.311073
361 W65814001 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.496072 0.453571 0.949643 0.816427 0.586787
362 W65814006 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM OLMESARTAN MEDOXOMIL/AMLODIPINA ACCORD 20 mg/5 mg COMPR. FILM. 20mg/5mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.907142 0.496072 0.453571 0.949643 0.816427 0.586787
1,202 W67836002 C09DB02 OLMESARTANUM MEDOXOMILUM+AMLODIPINUM REVERANTZA 40 mg/5 mg COMPR. FILM. 40mg/5mg SWYSSI AG GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 1.632856 0.258215 0.816428 1.074643 1.469570 0.421501
397 W12893001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg PFIZER EUROPE MA EEIG MAREA BRITANIE CUTIE CU BLIST. AL/AL X 30 COMPR. FILM. P-6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
398 W54696006 C10AA05 ATORVASTATINUM ATORIS 10 mg COMPR. FILM. 10mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR.FILM. P-6L 28 0.321910 0.078090 0.160955 0.239045 0.289719 0.110281
399 W55516003 C10AA05 ATORVASTATINUM ASCORD 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE X 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P-6L 30 0.321910 0.061090 0.160955 0.222045 0.289719 0.093281
401 W64877001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg BELGIA
PFIZER EUROPE MA EEIG CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
402 W65497005 C10AA05 ATORVASTATINUM ATORVASTATIN TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.061090 0.160955 0.222045 0.289719 0.093281
403 W65547003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 10 mg COMPR. FILM. 10mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL A CATE 10 COMPRIMATE FILMATE P6L 30 0.321910 0.458423 0.160955 0.619378 0.289719 0.490614
407 W67270001 C10AA05 ATORVASTATINUM SORTIS 10 mg COMPR. FILM. 10mg UPJOHN EESV OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.321910 0.325756 0.160955 0.486711 0.289719 0.357947
412 W64878001 C10AA05 ATORVASTATINUM SORTIS 20 mg COMPR. FILM. 20mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.643821 0.465179 0.321910 0.787090 0.579438 0.529562
414 W65548003 C10AA05 ATORVASTATINUM ATORVASTATINA ARENA 20 mg COMPR. FILM. 20mg ARENA GROUP S.A. ROMANIA CUTIE CU 3 BLIST. PA-AL-PVC/AL A CATE 10 COMPRIMATE FILMATE P6L 30 0.643821 0.369179 0.321910 0.691090 0.579438 0.433562
Pagina 1 din 4
Prescriptie
Cod_CIM

Nr crt.
424 W64879006 C10AA05 ATORVASTATINUM SORTIS 40 mg COMPR. FILM. 40mg PFIZER EUROPE MA EEIG BELGIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P6L 14 1.287642 0.033072 0.643821 0.676893 1.158877 0.161837
441 W55327002 C10AA07 ROSUVASTATINUM ROSUCARD 10 mg COMPR. FILM. 10mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P-6L 30 0.643821 0.045512 0.321910 0.367423 0.579438 0.109895
443 W59899004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.643821 0.032964 0.321910 0.354875 0.579438 0.097347
444 W59899017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 10 mg COMPR. FILM. 10mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0.643821 0.032964 0.321910 0.354875 0.579438 0.097347
448 W64682002 C10AA07 ROSUVASTATINUM ROSI 10 mg COMPR. FILM. 10mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 0.643821 0.356845 0.321910 0.678756 0.579438 0.421228
449 W65079001 C10AA07 ROSUVASTATINUM CRESTOR 10 mg COMPR. FILM. 10mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0.643821 0.561179 0.321910 0.883090 0.579438 0.625562
1,287 W66514007 C10AA07 ROSUVASTATINUM ROSUVASTATINA MSN LABORATORIES 10 mg COMPR. FILM. 10mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. AL/AL CU 30 COMPRIMATE FILMATE P6L 30 0.643821 1.741512 0.321910 2.063423 0.579438 1.805895
458 W64684002 C10AA07 ROSUVASTATINUM ROSI 20 mg COMPR. FILM. 20mg SWYSSI AG GERMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. P6L 30 1.287642 0.217358 0.643821 0.861179 1.158877 0.346123
466 W61056001 C10AA07 ROSUVASTATINUM ROSUVASTATINA ATB 40 mg COMPR. FILM. 40mg ANTIBIOTICE S.A. ROMANIA CUTIE CU 3 BLIST. OPA-AL-PVC/AL X 10 COMPR. FILM. P6L 30 2.575285 0.182048 1.287642 1.469691 2.317756 0.439577
470 W59898004 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.321910 0.022732 0.160955 0.183687 0.289719 0.054923
471 W59898017 C10AA07 ROSUVASTATINUM ROSUVASTATINA TERAPIA 5 mg COMPR. FILM. 5mg TERAPIA SA ROMANIA CUTIE CU BLIST. OPA-AL-PE-DESICANT-PEID/AL X 28 COMPR. FILM. P6L 28 0.321910 0.022732 0.160955 0.183687 0.289719 0.054923
472 W60391003 C10AA07 ROSUVASTATINUM ROVASTAMED 5mg COMPR. FILM. 5mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. DIN OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.321910 0.579875 0.160955 0.740830 0.289719 0.612066
474 W65077001 C10AA07 ROSUVASTATINUM CRESTOR 5 mg COMPR. FILM. 5mg ASTRAZENECA AB SUEDIA CUTIE CU 2 BLIST. AL/AL X 14 COMPR. FILM. P6L 28 0.321910 0.872732 0.160955 1.033687 0.289719 0.904923
538 W63648001 D07AD01 CLOBETASOLUM CLOBETAZOL ATB 0,5 mg/g CREMA 0,5mg/g ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 TUB DIN AL X 25 G CREMA PRF 1 6.626250 2.203750 3.313125 5.516875 5.963625 2.866375
539 W64939001 D07AD01 CLOBETASOLUM DERMOVATE 0,5 mg/g CREMA 0,5mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB AL X 25 G CREMA PRF 1 6.626250 6.113750 3.313125 9.426875 5.963625 6.776375
540 W64943001 D07AD01 CLOBETASOLUM DERMOVATE 0,5 mg/ml SOL. CUT. 0,5mg/ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 FLAC. CU PICURATOR DIN PP X 25 ML SOL. CUTANATA PRF 1 6.240000 0.000000 3.120000 3.120000 5.616000 0.624000
541 W61823001 D07AD01 CLOBETASOLUM CLOBETAZOL ATB 0,5 mg/g UNGUENT 0,5mg/g ANTIBIOTICE SA ROMANIA CUTIE CU 1 TUB DIN AL X 25 G UNGUENT PRF 1 6.626250 0.003750 3.313125 3.316875 5.963625 0.666375
542 W64941001 D07AD01 CLOBETASOLUM DERMOVATE 0,5 mg/g UNGUENT 0,5mg/g GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 TUB AL X 25 G UNGUENT PRF 1 6.626250 3.593750 3.313125 6.906875 5.963625 4.256375
543 W52924001 D07AD01 CLOBETASOLUM CLOBETASOL MK 0,5 mg/g UNGUENT 0,5mg/g FITERMAN PHARMA S.R.L. ROMANIA CUTIE X 1 TUB DIN AL X 20 G P-RF 1 5.300000 0.000000 2.650000 2.650000 4.770000 0.530000
691 W63533001 J01FA02 SPIRAMYCINUM ROVAMYCINE® 1,5 Mil. UI COMPR. FILM. 1,5 Mil.U.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE X 2 BLIST. AL/PVC X 8 COMPR. FILM. P-RF 16 0.799336 0.323789 0.399668 0.723457 0.719402 0.403723
692 W63534001 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 2 BLIST. AL/PVC X 5 COMPR. FILM. PRF 10 1.598676 1.003324 0.799338 1.802662 1.438808 1.163192
693 W63534002 J01FA02 SPIRAMYCINUM ROVAMYCINE 3 Mil. UI COMPR. FILM. 3MilU.I. SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/PVC X 10 COMPR. FILM. PRF 10 1.598676 1.003324 0.799338 1.802662 1.438808 1.163192
694 W00517001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 3.996694 0.438306 1.998347 2.436653 3.597024 0.837976
695 W64359001 J01FA10 AZITHROMYCINUM SUMAMED 250 mg CAPS. 250mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 6 CAPS. P-RF 6 3.996694 0.438306 1.998347 2.436653 3.597024 0.837976
696 W00518001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg PLIVA LJUBLJANA D.O.O. SLOVENIA CUTIE X 1 BLIST. AL/PVC X 6 COMPR. FILM. P-RF 6 1.998344 2.563322 0.999172 3.562494 1.798509 2.763157
697 W64356001 J01FA10 AZITHROMYCINUM SUMAMED 125 mg COMPR. FILM. 125mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 1.998344 2.563322 0.999172 3.562494 1.798509 2.763157
707 W64357001 J01FA10 AZITHROMYCINUM SUMAMED 500 mg COMPR. FILM. 500mg TEVA B.V. OLANDA CUTIE CU 1 BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 7.993388 0.876612 3.996694 4.873306 7.194049 1.675951
729 W55700002 J01MA12 LEVOFLOXACINUM TAVANIC 500 mg COMPR. FILM. 500mg TERAPIA S.A. ROMANIA CUTIE X 1 BLIST. PVC/AL X 7COMPR. FILM. P-RF 7 5.580000 0.101428 2.790000 2.891428 5.022000 0.659428
734 W60943001 J01MA14 MOXIFLOXACINUM MOFLAXA 400 mg COMPR. FILM. 400mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN OPA-AL-PVC/AL CONAINÂND 5 COMPRIMATE FILMATE PRF 5 5.580000 1.330000 2.790000 4.120000 5.022000 1.888000
735 W63876001 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE X 1 BLIST. TRANSPARENT PP/AL X 5 COMPR. FILM. PRF 5 5.580000 2.538000 2.790000 5.328000 5.022000 3.096000
736 W65324001 J01MA14 MOXIFLOXACINUM KIMOKS 400 mg COMPR. FILM. 400mg ALKALOID-INT D.O.O. SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 5 COMPR. FILM. PRF 5 5.580000 1.560000 2.790000 4.350000 5.022000 2.118000
737 W65543001 J01MA14 MOXIFLOXACINUM ERELAN 400 mg COMPR. FILM. 400mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. AL/AL X 5 COMPR. FILM. PRF 5 5.580000 1.694000 2.790000 4.484000 5.022000 2.252000
738 W63876017 J01MA14 MOXIFLOXACINUM AVELOX 400 mg COMPR. FILM. 400mg BAYER AG GERMANIA CUTIE CU 1 BLIST. TRANSPARENT PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 5.580000 2.538000 2.790000 5.328000 5.022000 3.096000
1,302 W66200001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA VIVANTA 400 mg COMPR. FILM. 400mg VIVANTA GENERICS S.R.O., REPUBLICA CEHA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 5.580000 2.370000 2.790000 5.160000 5.022000 2.928000
740 W03837002 J02AC02 ITRACONAZOLUM ORUNGAL 100 mg CAPS. 100mg JANSSEN PHARMACEUTICA N.V. BELGIA CUTIE X 3 BLIST. AL/PVC-PE-PVDC X 5 CAPS. P-RF 15 2.459333 0.000000 1.229666 1.229667 2.213399 0.245934
741 W43051001 J02AC02 ITRACONAZOLUM ITRACONAZOL SLAVIA 100 mg CAPS. 100mg SLAVIA PHARM SRL ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
742 W53958001 J02AC02 ITRACONAZOLUM MICOGAL 100 mg CAPS. 100mg ROMPHARM COMPANY SRL ROMANIA CUTIE CU BLISTERE PVC/AL X 15 CAPSULE P-RF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
743 W59235001 J02AC02 ITRACONAZOLUM ITRACONAZOL ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 3 BLIST. AL/PVC X 5 CAPS. P-RF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
744 W61929006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg REPUBLICA CEHA CUTIE X 3 BLIST. AL/AL X 5 CAPS.
PHARMASWISS CESKA REPUBLIKA S.R.O. P-RF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
745 W62619001 J02AC02 ITRACONAZOLUM ITRACONAZOL FARMEX 100 mg CAPS. 100mg FARMEX COMPANY S.R.L. ROMANIA CUTIE CU 3 BLIST. PVCA/AL X 5 CAPS. PRF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
746 W67015006 J02AC02 ITRACONAZOLUM OMICRAL 100 mg CAPS. 100mg BAUSCH HEALTH IRELAND LIMITED IRLANDA CUTIE X 3 BLIST. AL/AL X 5 CAPS. P-RF 15 2.291333 0.000000 1.145666 1.145667 2.062199 0.229134
747 W65100001 J05AB11 VALACYCLOVIRUM # VALTREX 500 mg COMPR. FILM. 500 mg GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU BLIST. DIN CLORURA DE POLIVINIL/AL X 10 COMPR.FILM. PRF 10 5.085000 0.000000 2.542500 2.542500 4.576500 0.508500
748 W60087001 J05AB11 VALACYCLOVIRUM # VALACICLOVIR ARENA 500 mg COMPR. FILM. 500mg ARENA GROUP S.A. ROMANIA CUTIE CU 1 BLIST. PVC/PE/PVDC ALB OPAC/AL X 10 COMPR. FILM. PRF 10 3.306000 0.000000 1.653000 1.653000 2.975400 0.330600
750 W12490001 L01AA01 CYCLOPHOSPHAMIDUM ENDOXAN 50 mg DRAJ. 50mg BAXTER ONCOLOGY GMBH GERMANIA CUTIE X 5 BLIST. PVC-PVDC/AL X 10 DRAJ. P-RF 50 1.223000 0.000000 0.611500 0.611500 1.100700 0.122300
757 W60846001 L04AX01 AZATHIOPRINUM IMURAN 50 mg COMPR. FILM. 50mg ASPEN PHARMA TRADING LIMITED IRLANDA CUTIE X 4 BLIST. AL/PVC X 25 COMPR. FILM. P-RF 100 0.638800 0.000000 0.319400 0.319400 0.574920 0.063880
761 W06864001 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg BERLIN CHEMIE AG (MENARINI GROUP) GERMANIA CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 0.522798 0.414202 0.261399 0.675601 0.470518 0.466482
762 W67023001 M01AE17 DEXKETOPROFENUM TADOR 25 mg COMPR. FILM. 25mg MENARINI INTERNATIONAL OPERATIONS LUXEMBOURG S.A. LUXEMBURG CUTIE X 1 BLIST. PVC/AL X 10 COMPR. FILM. P-6L 10 0.522798 0.414202 0.261399 0.675601 0.470518 0.466482
763 W67369002 M01AE17 DEXKETOPROFENUM DEKENOR 25 mg COMPR. FILM. 25mg KRKA D.D, NOVO MESTO SLOVENIA CUTIE CU BLISTERE DIN PVC-PVDC-FILM ALB PVC/HÂRTIE-FOLIE AL CU 20X1 COMPRIMATE FILMATE P6L 20 0.522798 0.259202 0.261399 0.520601 0.470518 0.311482
834 W54297001 M05BA04 ACIDUM ALENDRONICUM TEVANAT 70 mg COMPR. 70 mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE X 1 BLIST. PVC-AL-OPA/AL X 4 COMPR. P-6L 4 3.290000 0.000000 1.645000 1.645000 2.961000 0.329000
835 W60296004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 5.285512 6.989488 2.642756 9.632244 4.756960 7.518040
836 W60296002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg MERCK SHARP & DOHME ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 5.285512 6.351988 2.642756 8.994744 4.756960 6.880540
1,231 W68213002 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 4 COMPR. P6L 4 5.285512 6.351988 2.642756 8.994744 4.756960 6.880540
1,232 W68213004 M05BA04 ACIDUM ALENDRONICUM FOSAMAX 70 mg COMPR. 70mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 1 BLIST. AL/AL X 2 COMPR. P6L 2 5.285512 6.989488 2.642756 9.632244 4.756960 7.518040
1,262 W63265001 M05BA04 ACIDUM ALENDRONICUM BINOSTO 70 mg COMPR. EFF. 70 mg GALENICA SA GRECIA CUTIE CU 2 BENZI DIN HARTIE/PE/AL/ZN-IONOMER X 2 COMPR. EFF. P6L 4 5.285512 11.309488 2.642756 13.952244 4.756960 11.838040
838 W52948001 M05BA04 ACIDUM ALENDRONICUM ALENDRONAT SANDOZ 70 mg COMPR. FILM. 70mg SANDOZ S.R.L. ROMANIA CUTIE X 1 BLIST. OPA-AL-PVC/AL X 2 COMPR. FILM P-6L 2 3.195000 0.000000 1.597500 1.597500 2.875500 0.319500
839 W56763001 M05BA04 ACIDUM ALENDRONICUM ADRONIK 70 mg COMPR. FILM. 70mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. PVC-PVDC/AL X 12 COMPR. FILM. P-6L 12 5.285512 3.685321 2.642756 6.328077 4.756960 4.213873
842 W60074002 M05BA07 ACIDUM RISEDRONICUM RISEDRONAT SODIC ZENTIVA 35mg COMPR. FILM. 35mg ZENTIVA KS REPUBLICA CEHA CUTIE X 1 BLISTER OPA-AL-PVC/AL X 4 COMPRIMATE FILMATE P-6L 4 4.095000 0.000000 2.047500 2.047500 3.685500 0.409500
843 W61163003 M05BA07 ACIDUM RISEDRONICUM ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 5.285512 7.026988 2.642756 9.669744 4.756960 7.555540
844 W66431003 M05BA07 ACIDUM RISEDRONICUM RISEDRONAT AUROBINDO 35 mg COMPR. FILM. 35mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 4 COMPR. FILM. P6L 4 4.660000 0.000000 2.330000 2.330000 4.194000 0.466000
845 W66497003 M05BA07 ACIDUM RISEDRONICUM ACTONEL SAPTAMANAL 35 mg COMPR. FILM. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 4 COMPR. FILM. P-6L 4 5.285512 7.026988 2.642756 9.669744 4.756960 7.555540
846 W61164001 M05BA07 ACIDUM RISEDRONICUM ACTONEL 75 mg COMPR. FILM. 75mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 11.326097 13.308903 5.663048 18.971952 10.193487 14.441513
847 W66214001 M05BA07 ACIDUM RISEDRONICUM ACTONEL 75 mg COMPR. FILM. 75mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 11.326097 13.308903 5.663048 18.971952 10.193487 14.441513
848 W66432001 M05BA07 ACIDUM RISEDRONICUM RISEDRONAT AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU 1 BLIST. PVC/AL X 2 COMPR. FILM. P6L 2 11.326097 3.288903 5.663048 8.951952 10.193487 4.421513
849 W66935003 M05BA07 ACIDUM RISEDRONICUM ACTONEL 35 mg COMPR. GASTROREZ. 35mg THERAMEX IRELAND LIMITED IRLANDA CUTIE CU BLIST. PVC/AL X 4 COMPR. GASTROREZ. P6L 4 5.285512 16.044488 2.642756 18.687244 4.756960 16.573040
850 W63914002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/2800 UI COMPR. 70mg/2800UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 1.261988 2.642756 3.904744 4.756960 1.790540
Pagina 2 din 4
Prescriptie
Cod_CIM

Nr crt.
851 W63922002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/2800 UI COMPR. 70mg/2800UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 7.091988 2.642756 9.734744 4.756960 7.620540
852 W64728002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI MERCK SHARP & DOHME OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5.285512 3.769488 2.642756 6.412244 4.756960 4.298040
853 W67694002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/2800UI COMPR. 70mg/2800UI N.V. ORGANON OLANDA CUTIE X 4 COMPR. (1 BLISTER DIN AL/AL X 4 COMPR.) P6L 4 5.285512 3.769488 2.642756 6.412244 4.756960 4.298040
854 W62143003 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR., AMBALAJ TIP CALENDAR P6L 4 5.285512 0.289488 2.642756 2.932244 4.756960 0.818040
855 W62143001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 0.289488 2.642756 2.932244 4.756960 0.818040
856 W62143002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) DA-BONE 70 mg/5600 UI COMPR. 70mg/5600UI TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 4X1 COMPR. P6L 4 5.285512 0.289488 2.642756 2.932244 4.756960 0.818040
857 W63915002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ACID ALENDRONIC/COLECALCIFEROL AUROBINDO 70 mg/5600 UI COMPR. 70mg/5600UI AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 1.646988 2.642756 4.289744 4.756960 2.175540
858 W63923002 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ACID ALENDRONIC/COLECALCIFEROL ZENTIVA 70 mg/5600 UI COMPR. 70mg/5600UI ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 7.389488 2.642756 10.032244 4.756960 7.918040
859 W64729001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI MERCK SHARP & DOHME OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 5.285512 4.074488 2.642756 6.717244 4.756960 4.603040
860 W65841001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) ACID ALENDRONIC/COLECALCIFEROL ACCORD 70 mg/5600 UI COMPR. 70mg/5600UI ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PA-AL-PVC/AL X 4 COMPR. P6L 4 5.285512 7.389488 2.642756 10.032244 4.756960 7.918040
861 W67697001 M05BB03 COMBINATII (ACIDUM ALENDRONICUM+COLECALCIFEROLUM) FOSAVANCE 70mg/5600UI COMPR. 70mg/5600UI N.V. ORGANON OLANDA CUTIE X 2 COMPR. (1 BLISTER DIN AL/AL X 2 COMPR.) P6L 2 5.285512 4.074488 2.642756 6.717244 4.756960 4.603040
871 W62536002 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. ELIB. PREL. PRF 20 0.551750 0.281250 0.275875 0.557125 0.496575 0.336425
873 W62536009 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. ALBE PVC-PVDC-HARTIE/AL X 20 COMPR. ELIB. PREL. PRF 20 0.551750 0.281250 0.275875 0.557125 0.496575 0.336425
874 W62536010 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA EP 75 mg/650 mg COMPR. ELIB. PREL. 75mg/650mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. ALBE PVC-PVDC-HARTIE/AL X 30 COMPR. ELIB. PREL. PRF 30 0.551750 0.281250 0.275875 0.557125 0.496575 0.336425
875 W61518001 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) ZALDIAR 37,5 mg/325 mg COMPR. FILM. 37,5mg+325mg STADA ARZNEIMITTEL AG GERMANIA CUTIE CU 1 BLIST.DIN HÂRTIE-PET-AL/PVC OPAC X 10 COMPR. FILM. P-RF 10 0.275875 0.593125 0.137937 0.731063 0.248287 0.620713
879 W54375003 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) DORETA 37,5mg/325mg COMPR. FILM. 37,5mg/325mg KRKA D.D. NOVO MESTO SLOVENIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. P-RF 20 0.275875 0.000125 0.137937 0.138063 0.248287 0.027713
882 W67798003 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAMADOL/PARACETAMOL MEDREG 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. PVC-AL X 30 COMPR. FILM. PRF 30 0.275875 0.015791 0.137937 0.153729 0.248287 0.043379
1,029 W57876003 N07CA01 BETAHISTINUM VERTIMED 16 mg COMPR. 16mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 COMPR. P6L 30 0.350316 0.049350 0.175158 0.224508 0.315284 0.084382
1,030 W56369001 N07CA01 BETAHISTINUM BETAHISTINA LPH 16 mg COMPR. 16mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 3 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 30 0.350316 0.292350 0.175158 0.467508 0.315284 0.327382
1,033 W57312003 N07CA01 BETAHISTINUM BETAHISTINA LPH 24 mg COMPR. 24 mg LABORMED PHARMA SA ROMANIA CUTIE CU 6 BLIST. DIN PVC-PVDC/AL X 10 COMPR. P-6L 60 0.525474 0.000026 0.262737 0.262763 0.472926 0.052574
1,035 W55890001 N07CA01 BETAHISTINUM BETAHISTINA MCC 24 mg COMPR. 24mg MAGISTRA C&C SRL ROMANIA CUTIE CU 2 BLIST. PVC-PVDC-TE TRANSPARENT/AL X 10 COMPR. P-6L 20 0.525474 0.000026 0.262737 0.262763 0.472926 0.052574
1,040 W61967003 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 3 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 60 0.525474 0.307026 0.262737 0.569763 0.472926 0.359574
1,041 W61967001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg BGP PRODUCTS B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525474 0.333526 0.262737 0.596263 0.472926 0.386074
1,044 W64556001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg MYLAN HEALTHCARE B.V. OLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525474 0.333526 0.262737 0.596263 0.472926 0.386074
1,254 W68853001 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. 24mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU 1 BLIST. PVC-PVDC/AL X 20 COMPR. P6L 20 0.525474 0.333526 0.262737 0.596263 0.472926 0.386074
1,049 W57875009 N07CA01 BETAHISTINUM VERTIMED 8 mg COMPR. 8mg MEDOCHEMIE LTD. CIPRU CUTIE CU BLIST. PVC/PE/PVDC-AL X 100 COMPR. P6L 100 0.175158 0.021642 0.087579 0.109221 0.157642 0.039158
1,050 W56368004 N07CA01 BETAHISTINUM BETAHISTINA LPH 8 mg COMPR. 8mg LABORMED PHARMA S.A. ROMANIA CUTIE CU 9 BLIST. PVC-PVDC/AL X 10 COMPR. P-6L 90 0.175158 0.021508 0.087579 0.109087 0.157642 0.039024
1,051 W62009002 N07CA01 BETAHISTINUM BETASERC 8 mg COMPR. 8mg BGP PRODUCTS B.V. OLANDA CUTIE CU 4 BLIST. PVC-PVDC/AL X 25 COMPR. P-6L 100 0.175158 0.078142 0.087579 0.165721 0.157642 0.095658
1,054 W62326004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg MYLAN HEALTHCARE GMBH GERMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525474 0.427359 0.262737 0.690096 0.472926 0.479907
1,055 W66245004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg MYLAN IRE HEALTHCARE LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525474 0.427359 0.262737 0.690096 0.472926 0.479907
1,233 W68647004 N07CA01 BETAHISTINUM BETASERC 24 mg COMPR. ORODISPERSABILE 24mg VIATRIS HEALTHCARE LIMITED IRLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 60 COMPR. ORODISPERSABILE P6L 60 0.525474 0.427359 0.262737 0.690096 0.472926 0.479907
1,103 W65206002 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE DISKUS 100 micrograme PULB. INHAL. 100micrograme GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 1 DISPOZITIV INHALATOR DIN PLASTIC SUB FORMA DE DISC X 1 BLIST. PVC/AL X 60 DOZE INDIVIDUALE P-RF 1 17.557200 16.112800 8.778600 24.891400 15.801480 17.868520
1,106 W63693001 R03BA05 FLUTICASONUM PROPIONAT ARQUIST 125 micrograme SUSP. INHAL. PRESURIZATA 125micrograme AMRING FARMA SRL ROMANIA CUTIE CU 1 RECIPIENT DIN AL SUB PRESIUNE PREVAZUT CU O VALVA DE MASURARE, UN DOZATOR DIN PP CU CAPAC, INTRODUS ÎNTR-O PUNGA DE AL CU SACULET DE SILICAGEL CARE CONTINE 120 DOZE SUSP. DE INHALAT PRESURIZATA PRF 1 43.893000 4.407000 21.946500 26.353500 39.503700 8.796300
1,107 W65201001 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE 125 INHALER CFC - Free SUSP. INHAL. PRESURIZATA 125µg/doza GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE X 1 FLACON PRESURIZAT DIN AL X 60 DOZE SUSP. DE INHALAT PRESURIZATA P-RF 1 21.946500 15.583500 10.973250 26.556750 19.751850 17.778150
1,108 W63695001 R03BA05 FLUTICASONUM PROPIONAT ARQUIST 250 micrograme SUSP. INHAL. PRESURIZATA 250micrograme AMRING FARMA SRL ROMANIA CUTIE CU 1 RECIPIENT DIN AL SUB PRESIUNE PREVAZUT CU O VALVA DE MASURARE, UN DOZATOR DIN PP CU CAPAC, INTRODUS ÎNTR-O PUNGA DE AL CU SACULET DE SILICAGEL CARE CONTINE 120 DOZE SUSP. DE INHALAT PRESURIZATA PRF 1 82.970000 0.000000 41.485000 41.485000 74.673000 8.297000
1,109 W65209001 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE 50 µg/doza INHALER CFC-Free SUSP. INHAL. PRESURIZATA 50µg/doza GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE X 1 FLACON PRESURIZAT X 120 DOZE X 50 MCG, PREVAZUT CU VALVA DOZATOARE P-RF 1 17.557200 17.652800 8.778600 26.431400 15.801480 19.408520
1,110 W65204003 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE NEBULES 0,5 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 0,5mg/2ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP. INHAL. PRIN NEBULIZATOR PRF 10 0.585239 3.450761 0.292619 3.743381 0.526715 3.509285
1,111 W65205003 R03BA05 FLUTICASONUM PROPIONAT FLIXOTIDE NEBULES 2 mg/2 ml SUSP. INHAL. PRIN NEBULIZATOR 2mg/2ml GLAXOSMITHKLINE (IRELAND) LIMITED IRLANDA CUTIE CU 2 FOLII SIGILATE POLIESTER/AL/ PEJD A CATE 5 FIOLE DIN PEJD X 2,5ML CONTINAND CATE 2ML SUSP. INHAL. PRIN NEBULIZATOR PRF 10 2.340959 6.971041 1.170479 8.141521 2.106863 7.205137
1,112 W64226001 R03BA08 CICLESONIDUM ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160micrograme/doza ASTRAZENECA AB SUEDIA CUTIE CU 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA PRF 1 86.680000 0.000000 43.340000 43.340000 78.012000 8.668000
1,113 W67523001 R03BA08 CICLESONIDUM ALVESCO 160 INHALER SOL. DE INHALAT PRESURIZATA 160micrograme/doza COVIS PHARMA EUROPE B.V. OLANDA CUTIE CU 1 FLAC. DIN AL CU VALVA DOZATOARE X 60 DOZE SOL. DE INHALAT PRESURIZATA PRF 1 86.680000 0.000000 43.340000 43.340000 78.012000 8.668000
1,292 W67508001 R03BB04 TIOTROPIUM DILOCHOB 18 micrograme CAPS. CU PULB. DE INHAL. 18 micrograme ZENTIVA, K.S. REPUBLICA CEHA CUTIE CARE CONTINE 30 DE CAPSULE (3 BLISTERE OPA-PVC-PET/AL ) SI UN INHALATOR MRX003-T10 DPI PRF 30 4.087666 0.000000 2.043833 2.043833 3.678899 0.408767
1,114 W57488004 R03BB04 TIOTROPIUM SPIRIVA 18 micrograme CAPS. CU PULB. INHAL. 18micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 3 BLIST. AL/PVC/AL X 10 CAPS. CU PULB. DE INHALAT + 1 DISPOZITIV HANDIHALER PRF 30 4.336499 0.253834 2.168249 2.422084 3.902849 0.687484
1,115 W63214002 R03BB04 TIOTROPIUM GREGAL 10 micrograme PULB. DE INHAL. CAPSULA 10micrograme TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU 1 FLAC. DIN PEÎD CU CAPAC CU FILET DIN PP, FOLIE PROTECTOARE DIN PE, INEL DE SIGILARE SI CU REZERVOR DIN PEÎD CARE CONTINE SILICAGEL CU 30 CAPSULE SI UN INHALATOR ZONDA PRF 30 3.834333 0.000000 1.917166 1.917167 3.450899 0.383434
1,116 W58575005 R03BB04 TIOTROPIUM SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 INHALATOR RESPIMAT RE-UTILIZABIL SI 1 CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MEDICINALE) SOL. DE INHALAT PRF 1 130.094985 7.615015 65.047492 72.662508 117.085486 20.624514
1,117 W58575007 R03BB04 TIOTROPIUM SPIRIVA RESPIMAT 2,5 micrograme SOL. DE INHALAT 2,5micrograme BOEHRINGER INGELHEIM INTERNATIONAL GMBH GERMANIA CUTIE CU 1 CARTUS CARE FURNIZEAZA 60 PUFURI (30 DOZE MEDICINALE) SOL. DE INHALAT PRF 1 130.094985 13.955015 65.047492 79.002508 117.085486 26.964514
1,124 W51362004 R03DC03 MONTELUKASTUM SINGULAIR 10 mg COMPR. FILM. 10mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC X 14 COMPR. FILM. P6L 28 0.873000 1.600571 0.436500 2.037071 0.785700 1.687871
1,125 W56500003 R03DC03 MONTELUKASTUM MONTELUKAST ACTAVIS 10 mg COMPR. FILM. 10mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.873000 0.000000 0.436500 0.436500 0.785700 0.087300
1,126 W56686005 R03DC03 MONTELUKASTUM MONKASTA 10 mg COMPR. FILM. 10mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. FILM. P6L 28 0.873000 0.085214 0.436500 0.521714 0.785700 0.172514
1,129 W67985003 R03DC03 MONTELUKASTUM MONTELUKAST TEVA 10 mg COMPR. FILM. 10mg TEVA B.V. OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 0.873000 0.000000 0.436500 0.436500 0.785700 0.087300
1,235 W68218002 R03DC03 MONTELUKASTUM SINGULAIR 10 mg COMPR. FILM. 10mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. P6L 28 0.873000 1.600571 0.436500 2.037071 0.785700 1.687871
1,218 W68468005 R03DC03 MONTELUKASTUM MONTELUKAST MEDREG 10 mg COMPR. FILM. 10mg MEDREG S.R.O. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. FILM. P6L 28 0.862857 0.000000 0.431428 0.431429 0.776571 0.086286
1,130 W56567005 R03DC03 MONTELUKASTUM MONTELUKAST ACTAVIS 4 mg COMPR. MAST. 4mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L 30 0.480666 0.000000 0.240333 0.240333 0.432599 0.048067
1,131 W56684005 R03DC03 MONTELUKASTUM MONKASTA 4 mg COMPR. MAST. 4mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L 28 0.600000 0.000000 0.300000 0.300000 0.540000 0.060000
1,133 W58747005 R03DC03 MONTELUKASTUM SINGULAIR 4 mg COMPR. MAST. 4mg MERCK SHARP & DOHME ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600285 1.873286 0.300142 2.173429 0.540256 1.933315
1,135 W67728005 R03DC03 MONTELUKASTUM MONTELUKAST TEVA 4 mg COMPR. MAST. 4mg TEVA B.V. OLANDA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. MAST. P6L 30 0.480666 0.000000 0.240333 0.240333 0.432599 0.048067
1,236 W68298005 R03DC03 MONTELUKASTUM SINGULAIR 4 mg COMPR. MAST. 4mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600285 1.873286 0.300142 2.173429 0.540256 1.933315
1,136 W51361004 R03DC03 MONTELUKASTUM SINGULAIR 5 mg COMPR. MAST. 5mg MERCK SHARP & DOHME ROMANIA CUTIE X 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 28 0.750356 1.723215 0.375178 2.098393 0.675320 1.798251
1,137 W56685005 R03DC03 MONTELUKASTUM MONKASTA 5 mg COMPR. MAST. 5mg KRKA D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC//AL X 28 COMPR. MAST. P6L 28 0.750356 0.000358 0.375178 0.375536 0.675320 0.075394
1,139 W66474005 R03DC03 MONTELUKASTUM MONTELUKAST AUROBINDO 5 mg COMPR. MAST. 5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.750356 0.077858 0.375178 0.453036 0.675320 0.152894
1,237 W68217002 R03DC03 MONTELUKASTUM SINGULAIR 5 mg COMPR. MAST. 5mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 2 BLIST. OPA-AL-PVC/AL X 14 COMPR. MAST. P6L 28 0.750356 1.723215 0.375178 2.098393 0.675320 1.798251
Pagina 3 din 4
Prescriptie
Cod_CIM

Nr crt.
1,140 W58090003 R03DC03 MONTELUKASTUM SINGULAIR 4 mg GRANULE 4mg MERCK SHARP & DOHME ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L 28 0.600285 1.960429 0.300142 2.260572 0.540256 2.020458
1,238 W68297003 R03DC03 MONTELUKASTUM SINGULAIR 4 mg GRANULE 4mg ORGANON BIOSCIENCES S.R.L. ROMANIA CUTIE CU 28 PLICURI DIN PE/AL/POLIESTER CU GRANULE P6L 28 0.600285 1.960429 0.300142 2.260572 0.540256 2.020458
SE ELIMINA
90 W66019002 B01AC04 CLOPIDOGRELUM ** CLOPIDOGREL AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF 28 0.652142 0.000000 0.326071 0.326071 0.586927 0.065215
352 W67664003 C09DB01 COMBINATII (AMLODIPINUM+VALSARTANUM) AMLODIPINA/VALSARTAN AUROBINDO 5 mg/160 mg COMPR. FILM. 5mg/160mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. P6L 30 1.741000 0.000000 0.870500 0.870500 1.566900 0.174100
450 W66470004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0.401000 0.000000 0.200500 0.200500 0.360900 0.040100
460 W66471004 C10AA07 ROSUVASTATINUM ROSUVASTATINA AUROBINDO 20 mg COMPR. FILM. 20mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. FILM. PRF 30 0.426333 0.000000 0.213166 0.213167 0.383699 0.042634
656 W64286008 G04CA02 TAMSULOSINUM TAMSULOSIN AUROBINDO 400 micrograme CAPS. ELIB. PREL. 400micrograme AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PE/PVDC-AL X 30 CAPS. ELIB. PREL. P6L 30 0.646666 0.000000 0.323333 0.323333 0.581999 0.064667
699 W63094004 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 3.631666 0.000000 1.815833 1.815833 3.268499 0.363167
706 W63095002 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 6.156666 0.000000 3.078333 3.078333 5.540999 0.615667
739 W66222001 J01MA14 MOXIFLOXACINUM MOXIFLOXACINA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 5 COMPR. FILM. PRF 5 5.598000 2.118000 2.799000 4.917000 5.038200 2.677800
806 W63676002 M01AH05 ETORICOXIBUM ETORICOXIB AUROBINDO 30 mg COMPR. FILM. 30mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 14 COMPR. FILM. PRF 14 0.650333 0.575381 0.325166 0.900548 0.585299 0.640415
837 W66435002 M05BA04 ACIDUM ALENDRONICUM * ACID ALENDRONIC AUROBINDO 70 mg COMPR. 70mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 4 COMPR. P6L 4 3.410000 0.000000 1.705000 1.705000 3.069000 0.341000
881 W66473002 N02AJ13 COMBINATII (TRAMADOLUM+PARACETAMOLUM) TRAMADOL/PARACETAMOL AUROBINDO 37,5 mg/325 mg COMPR. FILM. 37,5mg/325mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 20 COMPR. FILM. PRF 20 0.276000 0.302000 0.138000 0.440000 0.248400 0.329600
925 W66014005 N03AX16 PREGABALINUM ** # PREGABALINA AUROBINDO 300 mg CAPS. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 1.416166 0.000000 0.708083 0.708083 1.274549 0.141617
982 W65341003 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF 28 0.537500 0.000000 0.268750 0.268750 0.483750 0.053750
1,046 W66443003 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT AUROBINDO 24 mg COMPR. 24mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 60 COMPR. P6L 60 0.496333 0.000000 0.248166 0.248167 0.446699 0.049634
1,053 W66441006 N07CA01 BETAHISTINUM BETAHISTINA DICLORHIDRAT AUROBINDO 8 mg COMPR. 8mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 100 COMPR. P6L 100 0.175141 0.021659 0.087570 0.109230 0.157626 0.039174
1,134 W66475005 R03DC03 MONTELUKASTUM * MONTELUKAST AUROBINDO 4 mg COMPR. MAST. 4mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 28 COMPR. MAST. P6L 28 0.600428 0.169929 0.300214 0.470143 0.540385 0.229972
Pagina 4 din 4
ANEXA 8
(ANEXA 2c la Ordinul CNAS nr. 116/2022)
SECŢIUNEA C1 - LISTA MEDICAMENTELOR CU PROCENT DE COMPENSARE 100% DIN PREŢUL DE REFERINŢĂ CONFORM
DCI-urilor UTILIZATE ÎN TRATAMENTUL AMBULATORIU AL UNOR GRUPE DE BOLI
DIN H.G. NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE;
MEDICAMENTELE DIN ACEASTĂ SUBLISTĂ SE ELIBEREAZĂ PRIN FARMACII CU CIRCUIT DESCHIS PE BAZĂ DE PRESCRIPŢIE MEDICALĂ CU REŢINERE ÎN FARMACIE
VALABILĂ ÎNCEPÂND CU 01 MAI 2023
Val. maxima suportata Contributie maxima

de sistemul de asigurari a asiguratului / UT
sociale de sanatate / UT (pt. asiguratii care
Prescriptie
cant. (pt. asiguratii care beneficiaza de
Cod_CIM
UT/ Pret de beneficiaza de compensare 100%

Nr crt.
TARA amba referinta / UT compensare 100% din din pretul de

cod ATC DCI Denumire Comerciala forma farm. concentratie DETINATOR APP DET. APP AMBALAJ laj (RON) pretul de referinta) referinta)
3. BOLNAVI CU PROCEDURI INTERVENTIONALE PERCUTANE, NUMAI DUPA IMPLANTAREA UNEI PROTEZE ENDOVASCULARE (STENT)- G3
SE ELIMINA
9 W66019002 B01AC04 CLOPIDOGRELUM ** CLOPIDOGREL AUROBINDO 75 mg COMPR. FILM. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF 28 0.646532 0.646532 0.005610
Tratamentul se iniţiază de către medicul în specialitatea cardiologie, chirurgie cardiovasculară şi chirurgie vasculară.
4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4
SE MODIFICA
15 W63755007 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
16 W63932001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 0,5 mg COMPR. FILM. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 6.308799 6.308799 15.221534
17 W63755010 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
18 W63864001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
19 W63803001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 0,5 mg COMPR. FILM. 0,5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 6.308799 6.308799 16.779867
20 W63755002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
24 W65716001 J05AF10 ENTECAVIRUM **1 ENTECAVIR KRKA 0,5 mg COMPR. FILM. 0,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 5.628333 5.628333 0.000000
25 W65671001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 0,5 mg COMPR. FILM. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 30 X 1 COMPR. FILM. PR 30 6.308799 6.308799 12.011534
26 W65515002 J05AF10 ENTECAVIRUM **1 VIREN 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE AL/AL X 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
27 W65511001 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL CONTINAND 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
28 W68145001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
29 W68145002 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE DIN (OPA/AL/PVC-AL) X 30X1 COMPR. PR 30 5.463333 5.463333 0.000000
63 W68663001 J05AF10 ENTECAVIRUM **1 ENTECAVIR LABORMED 0,5 mg COMPR. FILM. 0,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 6.308799 6.308799 16.779867
64 W65511005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL CONTINAND 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
SE ELIMINA
21 W64007001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 0,5 mg COMPR. FILM. 0,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 4.552666 4.552666 0.000000
43 W64676001 J05AP09 DASABUVIRUM **1 β EXVIERA 250mg COMPR. FILM. 250 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE ) PR 56 18.082321 18.082321 0.000000
45 W64675001 J05AP53 OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM **1 β VIEKIRAX COMPR. FILM. 12,5 mg+75 mg+50 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPR. FILM. FIECARE) PR 56 194.662321 194.662321 0.000000
Tratamentul se iniţiază de către medicul în specialitatea gastroenterologie, boli infecţioase, nefrologie (doar pentru pacienţii cu afectare renală consecutivă infecţiei cu virusuri hepatitice), gastroenterologie pediatrică şi pediatrie cu
supraspecializare/competenţă/atestat în gastroenterologie pediatrică.
7. CIROZA HEPATICA - G7
SE MODIFICA
30 W63755007 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
31 W63932001 J05AF10 ENTECAVIRUM **1 ENTECAVIR SANDOZ 0,5 mg COMPR. FILM. 0,5mg SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 6.308799 6.308799 15.221534
32 W63755010 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. UNIDOZA OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
33 W63864001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN S.A.S. FRANTA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
34 W63803001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ALVOGEN 0,5 mg COMPR. FILM. 0,5mg ALVOGEN MALTA OPERATIONS (ROW) LTD. MALTA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 6.308799 6.308799 16.779867
Pagina 1 din 5
Prescriptie
Cod_CIM

Nr crt.

35 W63755002 J05AF10 ENTECAVIRUM **1 ENTECAVIR TEVA 0,5 mg COMPR. FILM. 0,5mg TEVA PHARMACEUTICALS S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
39 W65716001 J05AF10 ENTECAVIRUM **1 ENTECAVIR KRKA 0,5 mg COMPR. FILM. 0,5mg KRKA, D.D., NOVO MESTO SLOVENIA CUTIE CU BLIST. OPA-AL-PVC/AL X 30 COMPR. FILM. PR 30 5.628333 5.628333 0.000000
40 W65671001 J05AF10 ENTECAVIRUM **1 ENTECAVIR ACCORD 0,5 mg COMPR. FILM. 0,5mg ACCORD HEALTHCARE S.L.U. SPANIA CUTIE CU 30 X 1 COMPR. FILM. PR 30 6.308799 6.308799 12.011534
41 W65515002 J05AF10 ENTECAVIRUM **1 VIREN 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE AL/AL X 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
42 W65511001 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. UNIDOZA PENTRU ELIBERAREA UNEI UNITATI DOZATE DIN OPA-AL-PVC/AL CONTINAND 30X1 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
43 W68145001 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. (OPA/ALU/PVC-ALU) X 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
44 W68145002 J05AF10 ENTECAVIRUM **1 ENTECAVIR MYLAN 0,5 mg COMPR. FILM. 0,5mg MYLAN PHARMACEUTICALS LIMITED IRLANDA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE DIN (OPA/AL/PVC-AL) X 30X1 COMPR. PR 30 5.463333 5.463333 0.000000
80 W65511005 J05AF10 ENTECAVIRUM **1 ENTECAVIR TERAPIA 0,5 mg COMPR. FILM. 0,5mg S.C. TERAPIA S.A. ROMANIA CUTIE CU BLIST. DIN OPA-AL-PVC/AL CONTINAND 30 COMPR. FILM. PR 30 5.463333 5.463333 0.000000
81 W68663001 J05AF10 ENTECAVIRUM **1 ENTECAVIR LABORMED 0,5 mg COMPR. FILM. 0,5mg LABORMED PHARMA S.A. ROMANIA CUTIE CU BLIST. PERFORATE PT. ELIBERAREA UNEI UNITATI DOZATE OPA-AL-PVC/AL X 30X1 COMPR. FILM. PR 30 6.308799 6.308799 16.779867
SE ELIMINA
36 W64007001 J05AF10 ENTECAVIRUM **1 ENTECAVIR AUROBINDO 0,5 mg COMPR. FILM. 0,5mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PVDC/AL X 30 COMPR. FILM. PR 30 4.552666 4.552666 0.000000
58 W64676001 J05AP09 DASABUVIRUM **1 β EXVIERA 250mg COMPR. FILM. 250 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPRIMATE FILMATE ) PR 56 18.082321 18.082321 0.000000
60 W64675001 J05AP53 OMBITASVIRUM+PARITAPREVIRUM+RITONAVIRUM **1 β VIEKIRAX COMPR. FILM. 12,5 mg+75 mg+50 mg ABBVIE DEUTSCHLAND GMBH & CO. KG GERMANIA CUTIE CU BLIST. PVC-PE-PCTFE/FOLIE DIN AL X 56 COMPR. FILM. (AMBALAJ MULTIPLU CARE CONTINE 4 CUTII INTERIOARE X 14 COMPR. FILM. FIECARE) PR 56 194.662321 194.662321 0.000000
Tratamentul se iniţiază de către medicul în specialitatea gastroenterologie, boli infecţioase, nefrologie (doar pentru pacienţii cu afectare renală consecutivă infecţiei cu virusuri hepatitice), gastroenterologie pediatrică şi pediatrie cu
supraspecializare/competenţă/atestat în gastroenterologie pediatrică.
8. MEDICAMENTE DE SUPORT PENTRU AFECŢIUNI ONCOLOGICE, HEMATOLOGICE ŞI PENTRU TERAPIA DURERII - G10
SE MODIFICA
165 W58214001 N02AB03 FENTANYLUM ** LUNALDIN 100 micrograme COMPR. SUBLING. 100micrograme GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. SECURIZATE PT. COPII OPA/AL/PVC-HARTIE/POLIESTER/AL X 10 COMPR. SUBLINGUALE PRF 10 31.708000 31.708000 0.000000
SE ELIMINA
249 W67955001 N02AB03 FENTANYLUM ** TABFYL 100 micrograme COMPR. SUBLING. 100micrograme SANDOZ S.R.L. ROMANIA CUTIE CU BLIST. SECURIZATE PT. COPII, PERFORATE UNIDOZA DIN PA-AL-PVC/AL-PET X 10X1 COMPR. SUBLINGUALE PS 10 16.038000 16.038000 0.000000
9. EPILEPSIE - G11
SE MODIFICA
53 W54332002 N03AX12 GABAPENTINUM ** GRIMODIN 100 mg CAPS. 100mg UNGARIA CUTIE CU BLIST. PVC-PVDC/AL X 60 CAPS.
EGIS PHARMACEUTICALS P.L.C. P-6L 60 0.636166 0.636166 0.000000
54 W60025001 N03AX12 GABAPENTINUM ** GABAPENTIN ARENA 100 mg CAPS. 100mg ARENA GROUP S.A. ROMANIA CUTIE CU 6 BLIST. TRANSPARENTE PVC-PVDC/AL X 10 CAPS. P6L 60 0.636166 0.636166 0.000000
SE ELIMINA
52 W64281004 N03AX12 GABAPENTINUM ** GABAPENTIN AUROBINDO 100 mg CAPS. 100 mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/PVDC-AL X 50 CAPS. P6L 50 0.182200 0.182200 0.000000
124 W66014005 N03AX16 PREGABALINUM ** PREGABALINA AUROBINDO 300 mg CAPS. 300mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 60 CAPS. PRF 60 1.416166 1.416166 0.000000
Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.
Pagina 2 din 5
Prescriptie
Cod_CIM

Nr crt.

13. BOLI PSIHICE (SCHIZOFRENIE, TULBURĂRI SCHIZOTIPALE ŞI DELIRANTE, TULBURĂRI AFECTIVE MAJORE, TULBURĂRI PSIHOTICE ACUTE ŞI BOLI PSIHICE COPII, AUTISM, TULBURĂRI CU DEFICIT DE
ATENŢIE/HIPERREACTIVITATE) - G15
SE ADAUGA
288 W64027003 N05AX15 CARIPRAZINUM ** Ω REAGILA 1,5 mg CAPS. 1,5mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 CAPS. PRF 28 9.571071 9.571071 0.000000
289 W64028003 N05AX15 CARIPRAZINUM ** Ω REAGILA 3 mg CAPS. 3mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 CAPS. PRF 28 9.571071 9.571071 0.000000
290 W64029001 N05AX15 CARIPRAZINUM ** Ω REAGILA 4,5 mg CAPS. 4,5mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 CAPS. PRF 28 9.571071 9.571071 0.000000
291 W64030001 N05AX15 CARIPRAZINUM ** Ω REAGILA 6 mg CAPS. 6mg GEDEON RICHTER PLC. UNGARIA CUTIE CU BLIST. PVC/PE/PVDC/AL X 28 CAPS. PRF 28 9.571071 9.571071 0.000000
292 W60935001 N06AX26 VORTIOXETINUM ** Ω BRINTELLIX 10mg COMPR. FILM. 10mg H. LUNDBECK A/S DANEMARCA CUTIE X BLISTER TRANSPARENT PVC/PVDC/AL X 28 COMPRIMATE FILMATE PRF 28 4.696785 4.696785 0.000000
293 W60999001 N06AX26 VORTIOXETINUM ** Ω BRINTELLIX 20mg COMPR. FILM. 20mg H. LUNDBECK A/S DANEMARCA CUTIE X BLISTER TRANSPARENT PVC/PVDC/AL X 28 COMPRIMATE FILMATE P-RF 28 7.650714 7.650714 0.000000
294 W60998001 N06AX26 VORTIOXETINUM ** Ω BRINTELLIX 5mg COMPR. FILM. 5mg H. LUNDBECK A/S DANEMARCA CUTIE X BLISTER TRANSPARENT PVC/PVDC/AL X 28 COMPRIMATE FILMATE P-RF 28 2.475714 2.475714 0.000000
SE MODIFICA
66 W54603004 N05AH03 OLANZAPINUM ** OLANZAPINA TERAPIA 20 mg COMPR. ORODISPERSABILE 20mg TERAPIA S.A. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 2.477570 2.477570 0.542787
68 W62415002 N05AH03 OLANZAPINUM ** BLOONIS 20 mg COMPR. ORODISPERSABILE 20mg SANOFI ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 2.122142 2.122142 0.000000
69 W64079002 N05AH03 OLANZAPINUM ** BLOONIS 20 mg COMPR. ORODISPERSABILE 20mg ZENTIVA, K.S. REPUBLICA CEHA CUTIE CU BLIST. OPA-AL-PVC/AL X 28 COMPR. ORODISPERSABILE P-RF 28 2.122142 2.122142 0.000000
255 W61184003 N06BA09 ATOMOXETINUM ** ATOMOXETINA ZENTIVA 40 mg CAPS. 40mg ZENTIVA, K.S. CUTIE CU BLIST. PVC-ACLAR-PVC/AL X 28 CAPS.
REPUBLICA CEHA PRF 28 5.489599 5.489599 0.098615
256 W62701002 N06BA09 ATOMOXETINUM ** ATOMOXETINA ACTAVIS 40 mg CAPS. 40mg ACTAVIS GROUP PTC EHF. ISLANDA CUTIE CU BLIST. PVC-PVDC-PVC/AL X 28 CAPS. PR 28 5.489599 5.489599 2.249686
257 W63562003 N06BA09 ATOMOXETINUM ** BITINEX 40 mg CAPS. 40mg EGIS PHARMACEUTICALS P.L.C. UNGARIA CUTIE CU BLIST. PVC-PE-PCTFE/AL X 28 CAPS. PRF 28 5.337142 5.337142 0.000000
258 W65184003 N06BA09 ATOMOXETINUM ** STRATTERA 40 mg CAPS. 40mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. PVC-PE-PCTFE/AL X 28 CAPS. PRF 28 5.489599 5.489599 3.435401
261 W65745002 N06BA09 ATOMOXETINUM ** ATOMOXETINA ACCORD 40 mg CAPS. 40mg ACCORD HEALTHCARE POLSKA SP. Z O.O. POLONIA CUTIE CU BLIST. PVC-PE/PCTFE-AL X 28 CAPS. PRF 28 5.489599 5.489599 2.907186
SE ELIMINA
70 W66003004 N05AH03 OLANZAPINUM ** OLANZAPINA AUROBINDO 20 mg 20mg

COMPR. ORODISPERSABILE AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PE-DESICANT-PE/AL-PE X 28 COMPR. ORODISPERSABILE PRF 28 1.720714 1.720714 0.000000
134 W66436003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL AUROBINDO 10 mg COMPR. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 1.284856 1.284856 0.703144
142 W66437003 N05AX12 ARIPIPRAZOLUM ** ARIPIPRAZOL AUROBINDO 15 mg COMPR. 15mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PA-AL-PVC/AL X 30 COMPR. PRF 30 1.640333 1.640333 0.000000
172 W65341003 N06AB10 ESCITALOPRAMUM ** ESCITALOPRAM AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-ACLAR/AL X 28 COMPR. FILM. PRF 28 0.537500 0.537500 0.000000
195 W66465006 N06AX16 VENLAFAXINUM ** VENLAFAXINA AUROBINDO 150 mg CAPS. ELIB. PREL. 150mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.715333 0.715333 0.000000
206 W66464006 N06AX16 VENLAFAXINUM ** VENLAFAXINA AUROBINDO 75 mg CAPS. ELIB. PREL. 75mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 30 CAPS. ELIB. PREL. PRF 30 0.420000 0.420000 0.000000
253 W65463005 N06BA09 ATOMOXETINUM ** ATOMOXETINA AUROBINDO 25 mg CAPS. 25mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. PRF 28 4.883214 4.883214 0.000000
260 W65464005 N06BA09 ATOMOXETINUM ** ATOMOXETINA AUROBINDO 40 mg CAPS. 40mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 28 CAPS. PRF 28 4.447500 4.447500 0.000000
Tratamentul se iniţiază de către medicul în specialitatea psihiatrie şi psihiatrie pediatrică/neuropsihiatrie infantilă.
14. DEMENŢE (DEGENERATIVE, VASCULARE, MIXTE) - G 16
SE ELIMINA
69 W66008004 N06DX01 MEMANTINUM ** MEMANTINA AUROBINDO 10 mg COMPR. FILM. 10mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 56 COMPR. FILM. PR 56 0.580892 0.580892 0.000000
Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie
18. BOLI ENDOCRINE ŞI METABOLICE - G 22
SE ADAUGA
89 W69335001 C10AX14 ALIROCUMABUM ** Ω PRALUENT 300 mg SOL. INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 300mg SANOFI WINTHROP INDUSTRIE FRANTA CUTIE CU 1 STILOU INJECTOR (PEN) PREUMPLUT X 2ML PRF 1 1,978.510000 1,978.510000 0.000000
SE MODIFICA
Pagina 3 din 5
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Nr crt.

75 W66621001 A16AX09 GLYCEROLI PHENYLBUTYRAS ** Ω RAVICTI 1,1 g/ml LICHID ORAL 1,1g/ml IMMEDICA PHARMA AB SUEDIA 1 FLAC. A 25 ML LICHID ORAL SI 1 ADAPTOR PENTRU CAPACUL FARA FILET AL FLACONULUI CARE POATE FI REÎNCHIS, ÎN FIECARE CUTIE PR 1 881.550000 881.550000 0.000000
88 W67432001 A16AX18 LUMASIRANUM **1 Ω OXLUMO 94,5 mg/0,5 ml SOL INJ. 94,5mg/0,5ml ALNYLAM NETHERLANDS B.V. OLANDA CUTIE CU UN FLACON DIN STICLA X 0,5ML SOLUTIE INJECTABILA PR 1 361,116.630000 361,116.630000 0.000000
66 W67938001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 100 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 100micrograme/doza Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE ALBASTRA CONTINE 1400 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE IN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT IN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
67 W67941001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 25 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 25micrograme/doza Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE MOV CONTINE 350 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE ÎN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT ÎN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
68 W67940001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 50 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 50micrograme/doza Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE ROSIE CONTINE 700 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE ÎN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT ÎN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
69 W67939001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 75 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 75micrograme/doza Shire Pharmaceuticals Ireland Limited IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE GRI CONTINE 1050 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE ÎN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT ÎN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
78 W68223001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 100 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 100micrograme/doza TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE ALBASTRA CONTINE 1400 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE IN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT IN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
79 W68220001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 25 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 25micrograme/doza TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE MOV CONTINE 350 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE IN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT IN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
80 W68221001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 50 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 50micrograme/doza TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE ROSIE CONTINE 700 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE IN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT IN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
81 W68222001 H05AA03 PARATHYROID HORMONE **1 Ω NATPAR 75 micrograme/doza PULB.+SOLV.PT.SOL.INJ. 75micrograme/doza TAKEDA PHARM. INTERNATIONAL AG IRELAND BRANCH IRLANDA CUTIE CU 2 CARTUSE; FIECARE CARTUS DIN SUPORTUL PENTRU CARTUS DE CULOARE GRI CONTINE 1050 MICROGRAME HORMON PARATIROIDIAN (ADNR) SUB FORMA DE PULBERE IN PRIMA CAMERA SI 1000 MICROLITRI DE SOLVENT IN A DOUA CAMERA (CEEA CE CORESPUNDE LA 14 DOZE) PR 2 13,987.390000 13,987.390000 0.000000
22. PEMFIGUS - G 27
SE ELIMINA
28 W68707001 J04BA02 DAPSONUM (4) DISULONE COMPR. DIVIZ. 100mg BIO EEL S.R.L. ROMANIA CUTIE X 100 COMPR. DIVIZIBILE PRF 100 1.239100 1.239100 0.000000
Tratamentul se iniţiază de către medicul în specialitatea dermatologie.
24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30
SE MODIFICA
28 W60256001 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU UN BLISTER PVC-PVDC/AL X 5 COMPRIMATE FILMATE PRF 5 10.254000 10.254000 0.804000
29 W60256003 J01DD08 CEFIXIMUM XIFIA 400mg COMPR. FILM. 400mg INN-FARM D.O.O. SLOVENIA CUTIE CU 2 BLISTERE PVC-PVDC/AL A CATE 5 COMPRIMATE FILMATE PRF 10 10.254000 10.254000 0.248000
SE ELIMINA
30 W63368003 J01DD08 CEFIXIMUM CEFIXIMA AUROBINDO 400 mg COMPR. FILM. 400mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PA-AL-PVC/AL X 7 COMPR. FILM. PRF 7 8.517142 8.517142 0.000000
38 W63094004 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 250 mg COMPR. FILM. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 6 COMPR. FILM. PRF 6 3.306000 3.306000 0.325666
45 W63095002 J01FA10 AZITHROMYCINUM AZITROMICINA AUROBINDO 500 mg COMPR. FILM. 500mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC/AL X 3 COMPR. FILM. PRF 3 4.287999 4.287999 1.868667
Tratamentul se iniţiază de către medicul în specialitatea dermatologie şi obstetrică-ginecologie (pentru gonoree şi infecţia cu Chlamidia).
26. POLIARTITRITA REUMATOIDA - G31b
SE MODIFICA
11 W65630001 L04AA37 BARICITINIBUM **1 OLUMIANT 2 mg COMPR. FILM. 2mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. PVC/PE/PCTFE/ALU X 35 COMPR. FILM. PR 35 121.130571 121.130571 0.000000
12 W63493001 L04AA37 BARICITINIBUM **1 OLUMIANT 4 mg COMPR. FILM. 4mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. PVC/PE/PCTFE/ALU X 35 COMPR. FILM. PR 35 120.833142 120.833142 0.000000
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă, nefrologie (pentru pacienţii cu afectare renală) şi reabilitarea medicală.
28. SPONDILOARTRITA AXIALĂ - G31d
SE ADAUGA
55 W68000001 L04AC13 IXEKIZUMABUM **1 Ω TALTZ SOL INJ. IN STILOU PREUMPLUT 80mg ELI LILLY AND COMPANY (IRELAND) LIMITED IRLANDA CUTIE CU 1 STILOU INJECTOR PREUMPLUT PR 1 4,120.560000 4,120.560000 0.000000
Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă şi reabilitare medicală.
Pagina 4 din 5
Prescriptie
Cod_CIM

Nr crt.

Tratamentul se iniţiază de către medicul în specialitatea reumatologie, medicină internă şi reabilitare medicală.
31 DERMATITA ATOPICĂ - G31g
SE ADAUGA
6 W65630001 L04AA37 BARICITINIBUM **1 Ω OLUMIANT 2 mg COMPR. FILM. 2mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. PVC/PE/PCTFE/ALU X 35 COMPR. FILM. PR 35 121.130571 121.130571 0.000000
7 W63493001 L04AA37 BARICITINIBUM **1 Ω OLUMIANT 4 mg COMPR. FILM. 4mg ELI LILLY NEDERLAND BV OLANDA CUTIE CU BLIST. PVC/PE/PCTFE/ALU X 35 COMPR. FILM. PR 35 120.833142 120.833142 0.000000
SE MODIFICA
2 W66695001 D11AH05 DUPILUMABUM **1 Ω DUPIXENT 200 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 175mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 1,14 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,974.885000 2,974.885000 0.000000
32. AFECȚIUNI PULMONARE CRONICE - G31h
SE MODIFICA
3 W66695001 D11AH05 DUPILUMABUM ** DUPIXENT 200 mg SOL INJ. IN STILOU INJECTOR (PEN) PREUMPLUT 175mg/ml SANOFI - AVENTIS GROUPE FRANTA CUTIE CU 2 STILOURI INJECTOARE (PEN) PREUMPLUTE X 1,14 ML SOL. INJ. IN PEN PREUMPLUT PR 2 2,974.885000 2,974.885000 0.000000
10 W65487001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. IRLANDA CUTIE CU 1 SERINGA PREUMPLUTA X 1 ML SOL. INJ. PR/PRF 1 1,168.600000 1,168.600000 0.000000
SE ELIMINA
11 W57245001 R03DX05 OMALIZUMABUM ** XOLAIR 150 mg SOL INJ. 150mg NOVARTIS EUROPHARM LTD. MAREA BRITANIE CUTIE CU 1 SERINGA PREUMPLUTA X 1ML SOLUTIE INJECTABILA PR/PRF 1 1,595.950000 1,595.950000 0.000000
Pagina 5 din 5
ANEXA 9
(ANEXA 2d la Ordinul CNAS nr. 116/2022)
SECŢIUNEA C3 - LISTA DE MEDICAMENTE CU PROCENT DE COMPENSARE 100% DIN PREȚUL DE REFERINȚĂ - CONFORM DCI-URILOR, ALTELE DECÂT CELE DIN
SUBLISTELE A, B, SUBLISTA C SECŢIUNEA C1 ŞI SUBLISTA D, CORESPUNZĂTOARE MEDICAMENTELOR, DE CARE BENEFICIAZĂ COPIII PÂNĂ LA 18 ANI, TINERII DE LA 18 LA
26 DE ANI DACĂ SUNT ELEVI, UCENICI SAU STUDENŢI, DACĂ NU REALIZEAZĂ VENITURI, PRECUM ŞI GRAVIDE ŞI LEHUZE, ÎN TRATAMENTUL AMBULATORIU,
DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILĂ ÎNCEPÂND CU 01 MAI 2023
Val. maxima suportata de Contributie maxima

sistemul de asigurari a asiguratului / UT
Prescriptie
Cod_CIM

Nr crt.
Tara det. amba referinta / UT compensare 100% din din pretul de

cod ATC DCI Denumire Comerciala forma farm. concentratie Detinator APP APP Ambalaj laj (RON) pretul de referinta) referinta)
SE ELIMINA
29 W67598001 A11CC05 COLECALCIFEROLUM DIBASE 100.000 UI/ml SOL INJ. 100.000UI/ml IMECO S.A. ROMANIA CUTIE CU 6 FIOLE A CATE 1 ML SOL. INJ. PRF 6 9.780000 9.780000 0.000000
30 W67599001 A11CC05 COLECALCIFEROLUM DIBASE 300.000 UI/ml SOL INJ. 300.000UI/ml IMECO S.A. ROMANIA CUTIE CU 2 FIOLE A CATE 1 ML SOL. INJ. PRF 2 25.610000 25.610000 0.000000
108 W63415002 G01BA COMBINATII ZIFEX COMPLEX OVULE FARA CONCENTRATIE ANTIBIOTICE S.A. ROMANIA CUTIE CU 1 FOLIE TERMOSUDATA DIN PVC X 7 OVULE PRF 7 4.717142 4.717142 0.000000
Pagina 1 din 1
ANEXA 10
(ANEXA 2e la Ordinul CNAS nr. 116/2022)
SUBLISTA D - LISTA MEDICAMENTELOR CU NIVEL DE COMPENSARE 20% DIN PRETUL DE REFERINTA CONFORM
DENUMIRILOR COMUNE INTERNATIONALE (DCI) CORESPUNZATOARE MEDICAMENTELOR DE CARE BENEFICIAZA ASIGURATII, IN TRATAMENTUL AMBULATORIU CU SI FARA CONTRIBUTIE
PERSONALA DIN HG NR. 720/2008, REPUBLICATA, CU MODIFICARILE SI COMPLETARILE ULTERIOARE,
VALABILA INCEPAND CU 01 MAI 2023

Prescriptie
Cod_CIM

Nr crt.
SE MODIFICA
111 W04449002 M01AE02 NAPROXENUM REUXEN 250 mg COMPR. 250mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.392099 0.436901 0.078419 0.750581
113 W04450002 M01AE02 NAPROXENUM REUXEN 500 mg COMPR. 500mg AC HELCOR PHARMA SRL ROMANIA CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-6L 20 0.784198 0.535302 0.156839 1.162661
72 W08513001 M01AX17 NIMESULIDUM LEMESIL 100 mg COMPR. 100mg ANFARM HELLAS S.A. GRECIA CUTIE CU 2 BLIST. PVC-PVDC/AL X 10 COMPR. P-RF 20 0.392099 0.043901 0.078419 0.357581
73 W08886001 M01AX17 NIMESULIDUM NIMESULID MCC 100 mg COMPR. 100mg MAGISTRA C & C ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 0.392099 0.043901 0.078419 0.357581
74 W42589001 M01AX17 NIMESULIDUM NIMESULID SLAVIA COMPR. 100mg SLAVIA PHARM SRL ROMANIA CUTIE CU 1 BLIST. PVC/AL X 10 COMPR. P-RF 10 0.392099 0.043901 0.078419 0.357581
75 W43252002 M01AX17 NIMESULIDUM APONIL 100 mg COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 2 BLIST. AL/PVC X 10 COMPR. P-RF 20 0.392099 0.043901 0.078419 0.357581
76 W43252001 M01AX17 NIMESULIDUM APONIL 100 mg COMPR. 100mg MEDOCHEMIE LTD CIPRU CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 0.392099 0.043901 0.078419 0.357581
77 W51945001 M01AX17 NIMESULIDUM NIMESULIDA ARENA 100 mg COMPR. 100mg ARENA GROUP S.A. ROMANIA CUTIE X 1 BLIST. AL/PVC X 10 COMPR. P-RF 10 0.392099 0.629901 0.078419 0.943581
78 W63141001 M01AX17 NIMESULIDUM AULIN 100 mg COMPR. 100mg ANGELINI PHARMA ÖSTERREICH GMBH AUSTRIA CUTIE CU BLIST. AL/PVC X 10 COMPR. PRF 10 0.392099 0.279901 0.078419 0.593581
79 W63142009 M01AX17 NIMESULIDUM AULIN 100 mg GRAN. PT. SUSP. ORALA 100mg/plic ANGELINI PHARMA ÖSTERREICH GMBH AUSTRIA CUTIE CU 15 PLICURI DIN AL/HÂRTIE/PE SAU AL/HÂRTIE/PE/FOLIE SURLYN A CÂTE 2 G GRANULE PENTRU SUSPENSIE ORALA PRF 15 0.392099 0.284567 0.078419 0.598247
80 W61456002 M01AX17 NIMESULIDUM NIMELID 100 mg/plic GRANULE PT. SUSP. ORALA 100mg/plic ROMANIA
ROMPHARM COMPANY S.R.L. CUTIE CU 10 PLICURI DIN FOLIE MULTISTRAT (HARTIE/AL/PE) X 2 G GRANULE PT. SUSP. ORALA PRF 10 0.392099 0.043901 0.078419 0.357581
81 W61456003 M01AX17 NIMESULIDUM NIMELID 100 mg/plic GRANULE PT. SUSP. ORALA 100mg/plic ROMANIA
ROMPHARM COMPANY S.R.L. CUTIE CU 30 PLICURI DIN FOLIE MULTISTRAT (HARTIE/AL/PE) X 2 G GRANULE PT. SUSP. ORALA PRF 30 0.392099 0.043567 0.078419 0.357247
84 W55441001 M05BA06 ACIDUM IBANDRONICUM * OSSICA 150 mg COMPR. FILM. 150mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P-6L 1 22.652195 11.677805 4.530439 29.799561
85 W57485004 M05BA06 ACIDUM IBANDRONICUM * OSAGRAND 150 mg COMPR. FILM. 150mg ZENTIVA K.S. REPUBLICA CEHA CUTIE CU 1 BLIST. PVC-PVDC/AL X 1 COMPR. FILM. P6L 1 22.652195 1.967805 4.530439 20.089561
86 W58574001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC SANDOZ 150 mg COMPR. FILM. 150mg SANDOZ S.R.L. ROMANIA CUTIE CU 1 BLIST. PA-AL-PVC/AL X 1 COMPR. FILM. P6L 1 22.652195 16.717805 4.530439 34.839561
87 W63021001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC TEVA 150 mg COMPR. FILM. 150mg TEVA B.V. OLANDA CUTIE CU BLIST. DIN PVC/ACLAR/PVC-AL X 1 COMPRIMAT FILMAT P6L 1 22.540000 0.000000 4.508000 18.032000
88 W66455001 M05BA06 ACIDUM IBANDRONICUM * ACID IBANDRONIC AUROBINDO 150 mg COMPR. FILM. 150mg ROMANIA
AUROBINDO PHARMA ROMANIA S.R.L. CUTIE CU BLIST. PVC-PE-PVDC/AL X 1 COMPR. FILM. P6L 1 22.652195 15.567805 4.530439 33.689561
89 W57932001 M05BA06 ACIDUM IBANDRONICUM * OSSICA 3 mg SOL. INJ. IN SERINGA PREUMPLUTA 3mg GEDEON RICHTER PLC. UNGARIA CUTIE CU 1 SERINGA PREUMPLUTA DIN STICLA INCOLORA A 3 ML SOL. INJ. + 1 AC PT. INJECTIE P6L 1 89.785000 9.925000 17.957000 81.753000
SE ELIMINA
110 W66456002 M01AE02 NAPROXENUM NAPROXEN AUROBINDO 250 mg COMPR. 250mg AUROBINDO PHARMA ROMANIA S.R.L. ROMANIA CUTIE CU BLIST. PVC-PE-PVDC/AL X 10 COMPR. P6L 10 0.392174 0.408826 0.078434 0.722566
Pagina 1 din 1

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Ordin CNAS 266 Din 28 04 2023

Încărcat de

Drepturi de autor:

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ANEXA 6

(ANEXA 2a la Ordinul CNAS nr. 116/2022)

Contributie maxima Val. maxima suportata de Contributie maxima

UT/ Pret de compensare 100% beneficiaza de compensare 90%

UT/ Pret de compensare 100% beneficiaza de compensare 90%

UT/ Pret de compensare 100% beneficiaza de compensare 90%

Contributie maxima a Val. maxima suportata Val. maxima suportata

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

UT/ Pret de compensare 100% beneficiaza de beneficiaza de beneficiaza de beneficiaza de

Val. maxima suportata Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

4. HEPATITELE CRONICE DE ETIOLOGIE VIRALA B, C şi D - G4

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

Tratamentul se iniţiază de către medicul în specialitatea neurologie şi neurologie pediatrică.

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

70 W66003004 N05AH03 OLANZAPINUM ** OLANZAPINA AUROBINDO 20 mg 20mg

Tratamentul se iniţiază de către medicul în specialitatea psihiatrie şi psihiatrie pediatrică/neuropsihiatrie infantilă.

14. DEMENŢE (DEGENERATIVE, VASCULARE, MIXTE) - G 16

Tratamentul se initiaza de catre medicul in specialitatea psihiatrie, neurologie sau geriatrie

18. BOLI ENDOCRINE ŞI METABOLICE - G 22

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

Tratamentul se iniţiază de către medicul în specialitatea dermatologie.

24. BOLI VENERICE (SIFILIS, GONOREE, INFECTIA CU CHLAMIDIA) - G 30

26. POLIARTITRITA REUMATOIDA - G31b

28. SPONDILOARTRITA AXIALĂ - G31d

UT/ Pret de beneficiaza de compensare 100%

TARA amba referinta / UT compensare 100% din din pretul de

31 DERMATITA ATOPICĂ - G31g

32. AFECȚIUNI PULMONARE CRONICE - G31h

Val. maxima suportata de Contributie maxima

UT/ Pret de beneficiaza de compensare 100%

Tara det. amba referinta / UT compensare 100% din din pretul de

Contributie maxima Val. maxima suportata de Contributie maxima

UT/ Pret de compensare 100% beneficiaza de compensare 20%

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